Ruocco Mcdonald, Sally

Ruocco Mcdonald, Sally is an individual health care provider with primary practice located at 174 Barrett Ave , Bayport NY 11705-1413. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ruocco Mcdonald, Sally can be contacted via phone (631) 312-2081.

Contact Information

Primary practice address
174 Barrett Ave Bayport NY 11705-1413
Phone: (631) 312-2081
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 072583-1 New York

Profile Details

NPI number 1487895769
LBN Legal business name Ruocco Mcdonald, Sally
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2009
Last updated Apr 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487895769 NPPES
New York Other 072583-1 LICENSE

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