Provider Demographics
NPI:1346474590
Name:CIPRIANI, PATRICIA (MS SPED)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:CIPRIANI
Suffix:
Gender:F
Credentials:MS SPED
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:BOWLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:66-67 79 PLACE
Mailing Address - Street 2:1ST FL.
Mailing Address - City:MIDDLE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11379
Mailing Address - Country:US
Mailing Address - Phone:347-721-8325
Mailing Address - Fax:
Practice Address - Street 1:66-67 79 PLACE
Practice Address - Street 2:1ST FL.
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379
Practice Address - Country:US
Practice Address - Phone:347-721-8325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-03
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X, 390200000X
NY174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No174H00000XOther Service ProvidersHealth Educator