Mrs Corien Bologna, LCAT, ATR-BC is a
Art Therapist based in Port Jefferson, New York. Mrs Corien Bologna is licensed to practice in New York (license number 001744-01) and her current practice location is
1000 Main St, Port Jefferson, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 682-9507.
NPI number for Mrs Corien Bologna is 1750128906 and her current mailing address is 15 Parkridge Cir, Port Jefferson Station, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750128906.
Healthcare Provider's Profile
Full Name | Mrs Corien Bologna |
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Gender | Female |
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Speciality | Art Therapist |
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Location | 1000 Main St, Port Jefferson, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750128906
- Provider Enumeration Date: 07/12/2024
- Last Update Date: 08/03/2024
Medical Identifiers
Medical identifiers for Mrs Corien Bologna such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750128906 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YS0200X | Counselor - School | 2936702 (New York) | Secondary |
221700000X | Art Therapist | 001744-01 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Corien Bologna is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Corien Bologna, LCAT, ATR-BC 15 Parkridge Cir, Port Jefferson Station, NY 11776-3418 Ph: (631) 682-9507 | Mrs Corien Bologna, LCAT, ATR-BC 1000 Main St, Port Jefferson, NY 11777-2250 Ph: (631) 682-9507 |
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