Mandracchia, Violet Ann

Mandracchia, Violet Ann is an individual health care provider with primary practice located at 15 Shore Oaks Drive , Stony Brook NY 11790. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Mandracchia, Violet Ann can be contacted via phone (212) 979-5650.

Contact Information

Primary practice address
15 Shore Oaks Drive Stony Brook NY 11790
Phone: (212) 979-5650
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LR042082 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X LR042082 New York

Profile Details

NPI number 1104979079
LBN Legal business name Mandracchia, Violet Ann
Credentials MA CEAS LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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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