Provider Demographics
NPI:1225355050
Name:CONNOLLY, MARIA CHIULLI (MA/OTR)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:CHIULLI
Last Name:CONNOLLY
Suffix:
Gender:F
Credentials:MA/OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 LOVERS LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-1856
Mailing Address - Country:US
Mailing Address - Phone:631-421-0682
Mailing Address - Fax:
Practice Address - Street 1:9 LOVERS LN
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-1856
Practice Address - Country:US
Practice Address - Phone:631-421-0682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-04
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005985174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist