Cerullo, Nancy Louise

Cerullo, Nancy Louise is an sole proprietor health care provider with primary practice located at 407 E Main St Suite 15, Port Jefferson NY 11777-1866. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cerullo, Nancy Louise can be contacted via phone (631) 680-9040.

Contact Information

Primary practice address
407 E Main St Suite 15 Port Jefferson NY 11777-1866
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R053149-1 New York

Profile Details

NPI number 1326176611
LBN Legal business name Cerullo, Nancy Louise
Credentials LCSW-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2007
Last updated Jul 8th, 2007 - about 17 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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