Colletti, Michael Anthony

Colletti, Michael Anthony is an individual health care provider with primary practice located at 9745 Queens Blvd Penthouse Floor, Rego Park NY 11374-2101. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Colletti, Michael Anthony can be contacted via phone (718) 896-9090.

Contact Information

Primary practice address
9745 Queens Blvd Penthouse Floor Rego Park NY 11374-2101
Phone: (718) 896-9090
Fax: (718) 830-0724
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 73073656 New York

Profile Details

NPI number 1366484339
LBN Legal business name Colletti, Michael Anthony
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 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.

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