Lystad, Dorothy Ellen

Lystad, Dorothy Ellen is an individual health care provider with primary practice located at 260 Edwards Blvd , Long Beach NY 11561. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lystad, Dorothy Ellen can be contacted via phone (516) 432-7905.

Contact Information

Primary practice address
260 Edwards Blvd Long Beach NY 11561
Phone: (516) 432-7905
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R029041 New York

Profile Details

NPI number 1023163110
LBN Legal business name Lystad, Dorothy Ellen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 19 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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