Individual
DR. DEBRA A CIRRINCIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
11412 BEACH CHANNEL DR, SUITE # 2, ROCKAWAY PARK, NY 11694-2215
(718) 438-6690
(718) 634-9456
Mailing address
444 BEACH 144TH ST, NEPONSIT, NY 11694-1119
(347) 866-5559
(718) 634-9456
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
010921-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010921-1
LICENSE
NY
05
—
01484468
—
NY
01
—
112912
VBH
NY
01
—
6801134002
GHI
NY
Enumeration date
12/13/2006
Last updated
04/15/2008
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