Healthcare Provider Details

I. General information

NPI: 1265355580
Provider Name (Legal Business Name): IRVANIE LILIANE DORZILOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2631 MERRICK RD STE 406
BELLMORE NY
11710-5784
US

IV. Provider business mailing address

A AND J BEHAVIORAL HEALTH, 2631 MERRICK RD STE 406, BEL 406
BELMORE NY
11710
US

V. Phone/Fax

Practice location:
  • Phone: 516-308-4966
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: