Fagundes, Luis R

Fagundes, Luis R is an sole proprietor health care provider with primary practice located at 462 1St Ave , New York NY 10016-9196. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Fagundes, Luis R can be contacted via phone (212) 562-4679.

Contact Information

Primary practice address
462 1St Ave New York NY 10016-9196
Phone: (212) 562-4679
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 078325 New York

Profile Details

NPI number 1033418983
LBN Legal business name Fagundes, Luis R
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2011
Last updated Sep 20th, 2018 - about 7 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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