Burgos, Nancy Lynn

Burgos, Nancy Lynn is an individual health care provider with primary practice located at 9129 120Th St , Richmond Hill NY 11418-3215. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Burgos, Nancy Lynn can be contacted via phone (347) 683-6628.

Contact Information

Primary practice address
9129 120Th St Richmond Hill NY 11418-3215
Phone: (347) 683-6628
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 072563 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 076540 New York

Profile Details

NPI number 1528229150
LBN Legal business name Burgos, Nancy Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2008
Last updated May 8th, 2018 - about 7 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 1528229150 NPPES
New York MEDICAID 00072563
New York MEDICAID 00076540

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