Iacovissi, Tina

Iacovissi, Tina is an sole proprietor health care provider with primary practice located at 6700 Kirkville Rd , East Syracuse NY 13057-9305. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Iacovissi, Tina can be contacted via phone (315) 492-1390.

Contact Information

Primary practice address
6700 Kirkville Rd East Syracuse NY 13057-9305
Phone: (315) 492-1390
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X New York

Profile Details

NPI number 1700493103
LBN Legal business name Iacovissi, Tina
Credentials MA, MFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2020
Last updated Sep 29th, 2020 - about 4 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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