Cantales, Mark Blaine
Cantales, Mark Blaine is an sole proprietor health care provider with primary practice located at 217 Jefferson Ave , Endicott NY 13760-5244. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cantales, Mark Blaine can be contacted via phone (607) 372-1020.Contact Information
Primary practice address
217 Jefferson Ave
Endicott NY 13760-5244
Phone: (607) 372-1020
Fax: (607) 239-5328
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 069788-1 | New York |
Profile Details
NPI number | 1922162643 |
---|---|
LBN Legal business name | Cantales, Mark Blaine |
Credentials | LCSWR |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 20th, 2006 |
Last updated | Feb 20th, 2024 - about 10 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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