Individual
DR. ESTERINA DALESSIO-BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
554 LARKFIELD RD STE 203, EAST NORTHPORT, NY 11731-4205
(631) 368-1571
(631) 266-2548
Mailing address
35 CHESTER STREET, EAST NORTHPORT, NY 11731
(631) 368-4938
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015359-01
NY
Other
Enumeration date
05/02/2007
Last updated
06/05/2019
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