Provider Demographics
NPI:1255141339
Name:NALLI, ROCCO III (MA, CAS)
Entity type:Individual
Prefix:MR
First Name:ROCCO
Middle Name:
Last Name:NALLI
Suffix:III
Gender:M
Credentials:MA, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-2423
Mailing Address - Country:US
Mailing Address - Phone:315-935-1707
Mailing Address - Fax:315-935-1707
Practice Address - Street 1:15 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:BALDWINSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13027-2423
Practice Address - Country:US
Practice Address - Phone:315-935-1707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool