Provider Demographics
NPI:1396079232
Name:CHIARAMONTE, GABRIELLE ROSINA (PHD)
Entity type:Individual
Prefix:DR
First Name:GABRIELLE
Middle Name:ROSINA
Last Name:CHIARAMONTE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2 FOX HOLLOW RIDINGS CT
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-2241
Mailing Address - Country:US
Mailing Address - Phone:631-261-6312
Mailing Address - Fax:646-417-7633
Practice Address - Street 1:2 FOX HOLLOW RIDINGS CT
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-2241
Practice Address - Country:US
Practice Address - Phone:646-721-7633
Practice Address - Fax:646-417-7633
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-24
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
103TB0200X, 103TH0004X, 103TR0400X
NY019289-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation