Mistretta, Marie

Mistretta, Marie is an sole proprietor health care provider with primary practice located at 101 Hillside Ave Suite 101, Williston Park NY 11596-2347. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mistretta, Marie can be contacted via phone (516) 248-4581.

Contact Information

Primary practice address
101 Hillside Ave Suite 101 Williston Park NY 11596-2347
Phone: (516) 248-4581
Fax: (516) 248-4581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R016968 New York

Profile Details

NPI number 1013036748
LBN Legal business name Mistretta, Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013036748 NPPES
New York Other P3637040 OXFORD
New York Other 062688 OXFORD
New York Other NX4412 OXFORD
New York Other 7404230 OXFORD

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