Deluca, Andrea Helen

Deluca, Andrea Helen is an individual health care provider with primary practice located at 2295 Victory Blvd , Staten Island NY 10314-6625. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalysis, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychoanalysis is her primary health care specialty. Deluca, Andrea Helen can be contacted via phone (718) 698-0700.

Contact Information

Primary practice address
2295 Victory Blvd Staten Island NY 10314-6625
Phone: (718) 698-0700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X 0001031 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X PR022462-1 New York

Profile Details

NPI number 1336234335
LBN Legal business name Deluca, Andrea Helen
Credentials MSW PSAD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336234335 NPPES
New York MEDICAID 02027154

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