Micciulli, Jessica Cohen

Micciulli, Jessica Cohen is an individual health care provider with primary practice located at 1211 Stewart Ave. Suite 100, Bethpage NY 11714. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Micciulli, Jessica Cohen can be contacted via phone (516) 465-3998.

Contact Information

Primary practice address
1211 Stewart Ave. Suite 100 Bethpage NY 11714
Phone: (516) 465-3998
Fax: (212) 531-3431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 006998-1 New York

Profile Details

NPI number 1215390240
LBN Legal business name Micciulli, Jessica Cohen
Credentials L.M.H.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2016
Last updated Aug 26th, 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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