Carrillo, Gina

Carrillo, Gina is an individual health care provider with primary practice located at 10 Cherry Ave , Bethpage NY 11714-1501. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Carrillo, Gina can be contacted via phone (516) 644-4020.

Contact Information

Primary practice address
10 Cherry Ave Bethpage NY 11714-1501
Phone: (516) 644-4020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 072560 New York

Profile Details

NPI number 1104195106
LBN Legal business name Carrillo, Gina
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2011
Last updated Dec 20th, 2011 - about 13 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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