Boffardi, Pat B
Boffardi, Pat B is an individual health care provider with primary practice located at 509 Route 32 Pob 656, Highland Mills NY 10930-5133. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Boffardi, Pat B can be contacted via phone (845) 928-7979.Contact Information
Primary practice address
509 Route 32 Pob 656
Highland Mills NY 10930-5133
Phone: (845) 928-7979
Fax: (845) 928-3685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R059554 | New York |
Profile Details
| NPI number | 1497719439 |
|---|---|
| LBN Legal business name | Boffardi, Pat B |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| 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 | 1497719439 | NPPES |
| New York | MEDICAID | 01923711 |
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