Agresta, Jacqueline Marie
Agresta, Jacqueline Marie is an sole proprietor health care provider with primary practice located at 21 Reeve Rd , Rockville Centre NY 11570-1121. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Agresta, Jacqueline Marie can be contacted via phone (516) 594-4686.Contact Information
Primary practice address
21 Reeve Rd
Rockville Centre NY 11570-1121
Phone: (516) 594-4686
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R048974 | New York |
Profile Details
| NPI number | 1477708667 |
|---|---|
| LBN Legal business name | Agresta, Jacqueline Marie |
| Credentials | PHD, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2008 |
| Last updated | Dec 1st, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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