Dr. Debra Dianne Domenech-Ristorucci
Psychologist, Clinical in Astoria, NY. Individual provider (NPI-1).
NPI number1821673971
StatusActive
Last updated in NPPESMar 10, 2021
Details
- NPI
- 1821673971
- Entity type
- Individual (NPI-1)
- Name
- Dr. Debra Dianne Domenech-Ristorucci
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 10, 2021
- Certification date
- Mar 9, 2021
- Last updated
- Mar 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 010007 | NY | Yes |
Practice location
1842 21st RdAstoria, NY 11105-3940
Phone 917-698-2902
Mailing address
1842 21st RdAstoria, NY 11105-3940
Phone 917-698-2902
Other practice locations
2920 Broadway Alfred Lerner Hall Columbia University
8th Floor
New York, NY 10027
8th Floor
New York, NY 10027
Phone 212-854-2878 · Fax 212-854-9473
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