Wani, Laura Deluca

Wani, Laura Deluca is an sole proprietor health care provider with primary practice located at 99B Main St , Westhampton Beach NY 11978-2607. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wani, Laura Deluca can be contacted via phone (631) 728-7275.

Contact Information

Primary practice address
99B Main St Westhampton Beach NY 11978-2607
Phone: (631) 728-7275
Fax: (631) 854-2550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R-050773-1 New York

Profile Details

NPI number 1568474930
LBN Legal business name Wani, Laura Deluca
Credentials LCSW-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2006
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 1568474930 NPPES
Other P3239502 OXFORD
Other 516914 OXFORD
Other PIN # 7346876 OXFORD
Other R-050773-1 OXFORD
Other 516914 OXFORD
Other AA72640 OXFORD

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