Failla, Debra Marie

Failla, Debra Marie is an individual health care provider with primary practice located at 260 Main Street Suite 202, Northport NY 11768. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Failla, Debra Marie can be contacted via phone (631) 784-7761.

Contact Information

Primary practice address
260 Main Street Suite 202 Northport NY 11768
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 018181 New York

Profile Details

NPI number 1679938252
LBN Legal business name Failla, Debra Marie
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2015
Last updated Feb 28th, 2020 - about 6 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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