De La Rosa, Lillian Ivette
De La Rosa, Lillian Ivette is an individual health care provider with primary practice located at 998 Crooked Hill Road , Brentwood NY 11717. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. De La Rosa, Lillian Ivette can be contacted via phone (631) 761-2082.Contact Information
Primary practice address
998 Crooked Hill Road
Brentwood NY 11717
Phone: (631) 761-2082
Fax: (631) 761-2282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 074811-1 | New York |
Profile Details
| NPI number | 1467765412 |
|---|---|
| LBN Legal business name | De La Rosa, Lillian Ivette |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2010 |
| Last updated | Jul 20th, 2010 - about 14 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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