Provider Demographics
NPI:1346894359
Name:FIANI, CHASSITTY NIKOLE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHASSITTY
Middle Name:NIKOLE
Last Name:FIANI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:CHASSITTY
Other - Middle Name:NIKOLE
Other - Last Name:WHITMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4143 CRESCENT ST
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-3805
Mailing Address - Country:US
Mailing Address - Phone:718-784-2240
Mailing Address - Fax:
Practice Address - Street 1:4143 CRESCENT ST
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-3805
Practice Address - Country:US
Practice Address - Phone:718-784-2240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-29
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023318103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical