Angelillo, Alyssa Rose

Angelillo, Alyssa Rose is an individual health care provider with primary practice located at 110 Main St , Mineola NY 11501-4000. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Angelillo, Alyssa Rose can be contacted via phone (516) 747-5644.

Contact Information

Primary practice address
110 Main St Mineola NY 11501-4000
Phone: (516) 747-5644
Fax: (516) 747-2556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 24178 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 088294 New York

Profile Details

NPI number 1558784751
LBN Legal business name Angelillo, Alyssa Rose
Credentials LCSW, CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2014
Last updated May 8th, 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 1558784751 NPPES
New York MEDICAID 1558784751

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