Didomenico, Elizabeth Mary
Didomenico, Elizabeth Mary is an individual health care provider with primary practice located at 16 W Haven Dr , East Northport NY 11731-6532. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Didomenico, Elizabeth Mary can be contacted via phone (631) 617-2847.Contact Information
Primary practice address
16 W Haven Dr
East Northport NY 11731-6532
Phone: (631) 617-2847
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
Behavioral Health & Social Service Providers / School | 103TS0200X | New York |
Profile Details
NPI number | 1740717461 |
---|---|
LBN Legal business name | Didomenico, Elizabeth Mary |
Credentials | M.S.ED. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2017 |
Last updated | Apr 7th, 2021 - about 3 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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