Derienzis, Gayle Ryder

Derienzis, Gayle Ryder is an sole proprietor health care provider with primary practice located at 233 8Th Ave , Sea Cliff NY 11579-1103. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Derienzis, Gayle Ryder can be contacted via phone (516) 671-9278.

Contact Information

Primary practice address
233 8Th Ave Sea Cliff NY 11579-1103
Phone: (516) 671-9278
Fax: (516) 671-9278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 073075 New York

Profile Details

NPI number 1558386789
LBN Legal business name Derienzis, Gayle Ryder
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 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 1558386789 NPPES
New York Other 073075 LCSW LICENSE NUMBER

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