Borelli, Christine Carol

Borelli, Christine Carol is an sole proprietor health care provider with primary practice located at 3297 Noyac Rd , Sag Harbor NY 11963-1942. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Borelli, Christine Carol can be contacted via phone (631) 903-7886.

Contact Information

Primary practice address
3297 Noyac Rd Sag Harbor NY 11963-1942
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X SS772 Florida
Behavioral Health & Social Service Providers / Psychologist 103T00000X 018385 New York

Profile Details

NPI number 1598978322
LBN Legal business name Borelli, Christine Carol
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Sep 12th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598978322 NPPES
New York MEDICAID 03163435

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