Faccini, Lino

Faccini, Lino is an sole proprietor health care provider with primary practice located at 241 Cedar Ave , Islip NY 11751-4610. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Faccini, Lino can be contacted via phone (631) 819-1192.

Contact Information

Primary practice address
241 Cedar Ave Islip NY 11751-4610
Phone: (631) 819-1192
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 011517 New York

Profile Details

NPI number 1609404052
LBN Legal business name Faccini, Lino
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2020
Last updated Mar 31st, 2020 - about 5 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 1609404052 NPPES
New York Other 011517 NYS LICENSE

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