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Contact Information

MARIE T OPPEDISANO, PHD
24 APPLEGREEN DR
OLD WESTBURY, NY11568-1203
 Phone: 516-626-1341
 Fax: 516-621-0948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARIE T OPPEDISANO · (Female)

NPI Number 1518942911
Status Active
Credentials PHD
Entity Individual
Enumeration date 12/08/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 6061
  • NY Medicaid 01734207
  • NC Other 120780 VYTRA
  • NY Other 00767 74 GHI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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