Domb, Emily

Domb, Emily is an individual health care provider with primary practice located at 299 Hallock Ave , Port Jefferson Station NY 11776-1217. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Domb, Emily can be contacted via phone (631) 473-4284.

Contact Information

Primary practice address
299 Hallock Ave Port Jefferson Station NY 11776-1217
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 093973 New York

Profile Details

NPI number 1568991743
LBN Legal business name Domb, Emily
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2017
Last updated Jun 9th, 2017 - about 7 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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