Boscia-Wittekind, Marissa Nicole
Boscia-Wittekind, Marissa Nicole is an individual health care provider with primary practice located at 11 Farber Dr Ste D , Bellport NY 11713-1500. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Boscia-Wittekind, Marissa Nicole can be contacted via phone (631) 286-0700.Contact Information
Primary practice address
11 Farber Dr Ste D
Bellport NY 11713-1500
Phone: (631) 286-0700
Fax: (631) 286-0688
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 27142 | New York |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 006890 | New York |
Profile Details
NPI number | 1730695149 |
---|---|
LBN Legal business name | Boscia-Wittekind, Marissa Nicole |
Credentials | LMHC, CASAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 20th, 2017 |
Last updated | Dec 20th, 2017 - about 7 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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