Deluccia, Kristina

Deluccia, Kristina is an individual health care provider with primary practice located at 64 Oriole St , Pearl River NY 10965-2712. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Deluccia, Kristina can be contacted via phone (134) 773-3629.

Contact Information

Primary practice address
64 Oriole St Pearl River NY 10965-2712
Phone: (134) 773-3629
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 012681 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X New York

Profile Details

NPI number 1568889368
LBN Legal business name Deluccia, Kristina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2014
Last updated Jul 25th, 2023 - about last year

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 1568889368 NPPES
New York MEDICAID 225C00000X

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