Didomenico, Elizabeth Mary

Didomenico, Elizabeth Mary is an individual health care provider with primary practice located at 16 W Haven Dr , East Northport NY 11731-6532. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Didomenico, Elizabeth Mary can be contacted via phone (631) 617-2847.

Contact Information

Primary practice address
16 W Haven Dr East Northport NY 11731-6532
Phone: (631) 617-2847
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / School 103TS0200X New York

Profile Details

NPI number 1740717461
LBN Legal business name Didomenico, Elizabeth Mary
Credentials M.S.ED.
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated Apr 7th, 2021 - about 5 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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