Fedirko-Gonzalez, Nina Elena

Fedirko-Gonzalez, Nina Elena is an sole proprietor health care provider with primary practice located at 626 Willis Ave , Williston Park NY 11596-1149. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fedirko-Gonzalez, Nina Elena can be contacted via phone (516) 742-1182.

Contact Information

Primary practice address
626 Willis Ave Williston Park NY 11596-1149
Phone: (516) 742-1182
Fax: (516) 742-1182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R026152-1 New York

Profile Details

NPI number 1790802783
LBN Legal business name Fedirko-Gonzalez, Nina Elena
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2007
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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