Bologna, Corien

Bologna, Corien is an sole proprietor health care provider with primary practice located at 1000 Main St , Port Jefferson NY 11777-2250. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist is her primary health care specialty. Bologna, Corien can be contacted via phone (631) 682-9507.

Contact Information

Primary practice address
1000 Main St Port Jefferson NY 11777-2250
Phone: (631) 682-9507
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 2936702 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X 001744-01 New York

Profile Details

NPI number 1750128906
LBN Legal business name Bologna, Corien
Credentials LCAT, ATR-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2024
Last updated Jul 12th, 2024 - about 5 months 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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