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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558386789 | NPPES |
| New York | Other | 073075 | LCSW LICENSE NUMBER |
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