Fattibene, Gina Marie

Fattibene, Gina Marie is an individual health care provider with primary practice located at 1380 Roanoke Ave Suite 201, Riverhead NY 11901-2098. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fattibene, Gina Marie can be contacted via phone (631) 369-4418.

Contact Information

Primary practice address
1380 Roanoke Ave Suite 201 Riverhead NY 11901-2098
Phone: (631) 369-4418
Fax: (631) 369-4421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0719131 New York

Profile Details

NPI number 1790836070
LBN Legal business name Fattibene, Gina Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Aug 6th, 2009 - about 15 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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