CORIEN BOLOGNA

PORT JEFFERSON, NY
NPI1750128906
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy221700000X Art Therapist
(Licence: NY  001744-01)
Additional Taxonomies101YS0200X Counselor, School
(Licence: NY  2936702)
Enumeration Date2024-07-12
Last Update Date2024-08-03
Business Address
Mrs. CORIEN BOLOGNA LCAT, ATR-BC
1000 MAIN ST
PORT JEFFERSON, NY 11777-2250
Phone number: 631-682-9507
Mailing Address
Mrs. CORIEN BOLOGNA LCAT, ATR-BC
15 PARKRIDGE CIR
PORT JEFFERSON STATION, NY 11776-3418
Phone number: 631-682-9507