Domenech-Ristorucci, Debra Dianne

Domenech-Ristorucci, Debra Dianne is an sole proprietor health care provider with primary practice located at 1842 21St Rd , Astoria NY 11105-3940. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Domenech-Ristorucci, Debra Dianne can be contacted via phone (917) 698-2902.

Contact Information

Primary practice address
1842 21St Rd Astoria NY 11105-3940
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 010007 New York

Profile Details

NPI number 1821673971
LBN Legal business name Domenech-Ristorucci, Debra Dianne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2021
Last updated Mar 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821673971 NPPES
New York Other 010007 PSYCHOLOGIST LICENSE
New York Other 010007 PSYCHOLOGIST LICENSE

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