Alba, Denise Marie

Alba, Denise Marie is an individual health care provider with primary practice located at 180 Broadway , Hicksville NY 11801-4230. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Alba, Denise Marie can be contacted via phone (516) 935-6858.

Contact Information

Primary practice address
180 Broadway Hicksville NY 11801-4230
Phone: (516) 935-6858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1144788829
LBN Legal business name Alba, Denise Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2019
Last updated Mar 12th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144788829 NPPES
New York MEDICAID 113422018

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