Bocklet, Delores

Bocklet, Delores is an individual health care provider with primary practice located at 401 Main St , Islip NY 11751-3560. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Bocklet, Delores can be contacted via phone (631) 224-5330.

Contact Information

Primary practice address
401 Main St Islip NY 11751-3560
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X R-044537-1 New York

Profile Details

NPI number 1609917095
LBN Legal business name Bocklet, Delores
Credentials LCSW-R, CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609917095 NPPES
New York Other 129255 VYTRA ,HIP
New York Other P2739447 VYTRA ,HIP
New York Other 7408265 VYTRA ,HIP

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