Degrocco, Elizabeth P
Degrocco, Elizabeth P is an individual health care provider with primary practice located at 1490 William Floyd Pkwy , East Yaphank NY 11967-1820. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Degrocco, Elizabeth P can be contacted via phone (631) 924-3741.Contact Information
Primary practice address
1490 William Floyd Pkwy
East Yaphank NY 11967-1820
Phone: (631) 924-3741
Fax: (631) 924-2413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 069536-1 | New York |
Profile Details
| NPI number | 1619096427 |
|---|---|
| LBN Legal business name | Degrocco, Elizabeth P |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1619096427 | NPPES |
| New York | MEDICAID | 00659412 |
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