Antonucci, Melissa Amy

Antonucci, Melissa Amy is an sole proprietor health care provider with primary practice located at 15 Julliard Dr , Plainview NY 11803-1229. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Antonucci, Melissa Amy can be contacted via phone (516) 698-0769.

Contact Information

Primary practice address
15 Julliard Dr Plainview NY 11803-1229
Phone: (516) 698-0769
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 070775 New York
Behavioral Health & Social Service Providers / School 1041S0200X New York

Profile Details

NPI number 1093968380
LBN Legal business name Antonucci, Melissa Amy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2008
Last updated Oct 30th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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