Provider Demographics
NPI:1972978120
Name:SAETTA, RITA
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:SAETTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 HIGHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:12577-5103
Mailing Address - Country:US
Mailing Address - Phone:845-742-2130
Mailing Address - Fax:
Practice Address - Street 1:13 HIGHVIEW DR
Practice Address - Street 2:
Practice Address - City:SALISBURY MILLS
Practice Address - State:NY
Practice Address - Zip Code:12577-5103
Practice Address - Country:US
Practice Address - Phone:845-742-2130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-14
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY31238101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY31238OtherCASAC