Augenlicht, Ilene Robin
Augenlicht, Ilene Robin is an sole proprietor health care provider with primary practice located at 2539 Middle Country Rd Suite 4, Centereach NY 11720-3551. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Augenlicht, Ilene Robin can be contacted via phone (631) 467-3848.Contact Information
Primary practice address
2539 Middle Country Rd Suite 4
Centereach NY 11720-3551
Phone: (631) 467-3848
Fax: (631) 451-4660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R040417-1 | New York |
Profile Details
| NPI number | 1124177472 |
|---|---|
| LBN Legal business name | Augenlicht, Ilene Robin |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124177472 | NPPES |
| New York | MEDICAID | 02024739 |
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