Dibiase, Doreen

Dibiase, Doreen is an sole proprietor health care provider with primary practice located at 1000 Main St , Port Jefferson NY 11777-2250. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dibiase, Doreen can be contacted via phone (631) 255-2700.

Contact Information

Primary practice address
1000 Main St Port Jefferson NY 11777-2250
Phone: (631) 255-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 001356 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0548671 New York

Profile Details

NPI number 1447350525
LBN Legal business name Dibiase, Doreen
Credentials LCSW-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Sep 5th, 2012 - about 14 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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