Decrosta, Richard L
Decrosta, Richard L is an individual health care provider with primary practice located at 139 Cornell St , Kingston NY 12401-3633. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Decrosta, Richard L can be contacted via phone (845) 338-1234.Contact Information
Primary practice address
139 Cornell St
Kingston NY 12401-3633
Phone: (845) 338-1234
Fax: (845) 338-6284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 001215 | New York |
Profile Details
| NPI number | 1770507014 |
|---|---|
| LBN Legal business name | Decrosta, Richard L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770507014 | NPPES |
| New York | Other | 001215 | LICENSE |
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