Fanara, Charmaine Ann
Fanara, Charmaine Ann is an sole proprietor health care provider with primary practice located at 59 Alys Dr E , Depew NY 14043-1402. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fanara, Charmaine Ann can be contacted via phone (716) 783-0407.Contact Information
Primary practice address
59 Alys Dr E
Depew NY 14043-1402
Phone: (716) 783-0407
Fax: (716) 393-3430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 071265-1 | New York |
Profile Details
| NPI number | 1740378751 |
|---|---|
| LBN Legal business name | Fanara, Charmaine Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Nov 8th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740378751 | NPPES |
| New York | MEDICAID | 00071265-1 |
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