Laine-Formisano, Jennica
Laine-Formisano, Jennica is an sole proprietor health care provider with primary practice located at 260 Kings Mall Ct # 331 , Kingston NY 12401-1574. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Laine-Formisano, Jennica can be contacted via phone (845) 489-3687.Contact Information
Primary practice address
260 Kings Mall Ct # 331
Kingston NY 12401-1574
Phone: (845) 489-3687
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 021267-1 | New York |
Profile Details
| NPI number | 1346587862 |
|---|---|
| LBN Legal business name | Laine-Formisano, Jennica |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2013 |
| Last updated | May 7th, 2021 - 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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