Provider Demographics
NPI:1104206051
Name:SATALINO, ANNA (PHD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:SATALINO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 TALLMADGE TRL
Mailing Address - Street 2:
Mailing Address - City:MILLER PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11764-2327
Mailing Address - Country:US
Mailing Address - Phone:631-905-2398
Mailing Address - Fax:631-532-1792
Practice Address - Street 1:100 S MAIN ST STE 208
Practice Address - Street 2:
Practice Address - City:SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11782-3148
Practice Address - Country:US
Practice Address - Phone:631-905-2398
Practice Address - Fax:631-532-1792
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-05
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021179103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical