Provider Demographics
NPI:1346729704
Name:MURNANE-VICTORELLI, KRYSTALBELLA ALESSANDRA (LMSW)
Entity Type:Individual
Prefix:
First Name:KRYSTALBELLA
Middle Name:ALESSANDRA
Last Name:MURNANE-VICTORELLI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 FULTON AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-3702
Mailing Address - Country:US
Mailing Address - Phone:516-481-0052
Mailing Address - Fax:
Practice Address - Street 1:175 FULTON AVE STE 300
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-3702
Practice Address - Country:US
Practice Address - Phone:516-481-0052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-07
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)