Tucker, Dyna

Tucker, Dyna is an sole proprietor health care provider with primary practice located at 110 Jericho Tpke Ste 212 , Floral Park NY 11001-2019. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Tucker, Dyna can be contacted via phone (917) 459-2431.

Contact Information

Primary practice address
110 Jericho Tpke Ste 212 Floral Park NY 11001-2019
Phone: (917) 459-2431
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 08967801 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 0940201 New York

Profile Details

NPI number 1528579851
LBN Legal business name Tucker, Dyna
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2017
Last updated May 7th, 2024 - about 2 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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