Avila, Guadalupe

Avila, Guadalupe is an sole proprietor health care provider with primary practice located at 5 Prospect St Apt 2R , New Rochelle NY 10805-2828. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Avila, Guadalupe can be contacted via phone (914) 576-3682.

Contact Information

Primary practice address
5 Prospect St Apt 2R New Rochelle NY 10805-2828
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 2127083 New York

Profile Details

NPI number 1790093565
LBN Legal business name Avila, Guadalupe
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2010
Last updated Sep 15th, 2010 - about 14 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 1790093565 NPPES
New York MEDICAID 58195-9781

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