Provider Demographics
NPI:1831255751
Name:DISCIULLO, EMILY ANN (LCAT, ATR-BC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:DISCIULLO
Suffix:
Gender:F
Credentials:LCAT, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:496 STATE ROUTE 208
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-2603
Mailing Address - Country:US
Mailing Address - Phone:845-633-8134
Mailing Address - Fax:
Practice Address - Street 1:496 STATE ROUTE 208
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-2603
Practice Address - Country:US
Practice Address - Phone:845-633-8134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY05 000265221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist