Provider Demographics
NPI:1730612003
Name:CURRAO-MCALEAVEY, CARMELLA
Entity type:Individual
Prefix:
First Name:CARMELLA
Middle Name:
Last Name:CURRAO-MCALEAVEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CARMELLA
Other - Middle Name:
Other - Last Name:CURRAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SPECIAL EDUCATION TE
Mailing Address - Street 1:21 CYPRESS LN
Mailing Address - Street 2:
Mailing Address - City:SHIRLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11967-3111
Mailing Address - Country:US
Mailing Address - Phone:631-281-7405
Mailing Address - Fax:
Practice Address - Street 1:21 CYPRESS LN
Practice Address - Street 2:
Practice Address - City:SHIRLEY
Practice Address - State:NY
Practice Address - Zip Code:11967-3111
Practice Address - Country:US
Practice Address - Phone:631-281-7405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X, 252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No252Y00000XAgenciesEarly Intervention Provider Agency