David L Marasciullo Ph.D,Psychologist, Pc

LBN: David L Marasciullo Ph.D,Psychologist, Pc
David L Marasciullo Ph.D,Psychologist, Pc is an health care organization with primary practice located at 18 S Hollow Rd , Dix Hills NY 11746-6140. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. David L Marasciullo Ph.D,Psychologist, Pc can be contacted via phone (631) 643-7390, or through Marasciullo, David Louis via phone (631) 643-7390.

Contact Information

Primary practice address
18 S Hollow Rd Dix Hills NY 11746-6140
Fax: (631) 643-5068
Website:
Authorized official contact:
Name: Marasciullo, David Louis PHD

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3879 New York

Profile Details

NPI number 1518086735
LBN Legal business name David L Marasciullo Ph.D,Psychologist, Pc
DBA Doing business as
Authorized official Marasciullo, David Louis PHD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2007
Last updated May 25th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518086735 NPPES
New York Other S0879-4 B WORKERS' COMPENSATION
New York Other 3879 WORKERS' COMPENSATION
New York MEDICAID 02927659 WORKERS' COMPENSATION

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