Bautista, Rosa E
Bautista, Rosa E is an sole proprietor health care provider with primary practice located at 19 Greenridge Ave , White Plains NY 10605-1201. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Bautista, Rosa E can be contacted via phone (914) 949-7680.Contact Information
Primary practice address
19 Greenridge Ave
White Plains NY 10605-1201
Phone: (914) 949-7680
Fax: (914) 997-4972
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 052760 | New York |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
NPI number | 1245391721 |
---|---|
LBN Legal business name | Bautista, Rosa E |
Credentials | MSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 12th, 2006 |
Last updated | Apr 6th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245391721 | NPPES |
New York | Other | 00355940 | AGENCY MEDICAID PROVIDER ID |
New York | Other | 1285628552 | AGENCY MEDICAID PROVIDER ID |
New York | Other | WVE061 | AGENCY MEDICAID PROVIDER ID |
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