Colon, Mildred Ivette

Colon, Mildred Ivette is an sole proprietor health care provider with primary practice located at Lighthouse Womens Residence 244 Hempstead Avenue, Buffalo NY 14215. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Colon, Mildred Ivette can be contacted via phone (716) 831-7877.

Contact Information

Primary practice address
Lighthouse Womens Residence 244 Hempstead Avenue Buffalo NY 14215
Phone: (716) 831-7877
Fax: (716) 831-8666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 073564-1 New York

Profile Details

NPI number 1194886283
LBN Legal business name Colon, Mildred Ivette
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Jan 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194886283 NPPES
New York Other 073564-1 LCSW

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