Di Biasi, Gracierose

Di Biasi, Gracierose is an sole proprietor health care provider with primary practice located at 669 Castleton Ave , Staten Island NY 10301-2028. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Di Biasi, Gracierose can be contacted via phone (718) 442-2225.

Contact Information

Primary practice address
669 Castleton Ave Staten Island NY 10301-2028
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1528438983
LBN Legal business name Di Biasi, Gracierose
Credentials L.M.H.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2015
Last updated Sep 29th, 2015 - about 11 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 1528438983 NPPES
New York MEDICAID 135623279

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