Provider Demographics
NPI:1518794213
Name:CUNZIO, RAINA M (EDD, MST,)
Entity type:Individual
Prefix:
First Name:RAINA
Middle Name:M
Last Name:CUNZIO
Suffix:
Gender:F
Credentials:EDD, MST,
Other - Prefix:DR
Other - First Name:RAINA
Other - Middle Name:
Other - Last Name:CUNZIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DR RAINA RADULOV
Mailing Address - Street 1:PO BOX 872
Mailing Address - Street 2:
Mailing Address - City:SAUGERTIES
Mailing Address - State:NY
Mailing Address - Zip Code:12477-0872
Mailing Address - Country:US
Mailing Address - Phone:845-303-3912
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 872
Practice Address - Street 2:
Practice Address - City:SAUGERTIES
Practice Address - State:NY
Practice Address - Zip Code:12477-0872
Practice Address - Country:US
Practice Address - Phone:845-303-3912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist