Dedomenico, Lisa A

Dedomenico, Lisa A is an sole proprietor health care provider with primary practice located at 65 Parrott Rd , West Nyack NY 10994-1025. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Dedomenico, Lisa A can be contacted via phone (845) 627-4829.

Contact Information

Primary practice address
65 Parrott Rd West Nyack NY 10994-1025
Phone: (845) 627-4829
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 017810 New York

Profile Details

NPI number 1770875403
LBN Legal business name Dedomenico, Lisa A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2011
Last updated May 13th, 2011 - about 13 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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