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Individual

ELIZABETH MARY DIDOMENICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.ED.

Contact information

Practice address
16 W HAVEN DR, EAST NORTHPORT, NY 11731-6532
(631) 617-2847
Mailing address
16 W HAVEN DR, EAST NORTHPORT, NY 11731-6532
(631) 617-2847

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
NY
106S00000X
Behavior Technician

Other

Enumeration date
05/11/2017
Last updated
04/07/2021
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