Fenty, Racquel
Fenty, Racquel is an sole proprietor health care provider with primary practice located at 2928 West 36Th St Jbfcs, Brooklyn NY 11224. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Fenty, Racquel can be contacted via phone (718) 372-3300.Contact Information
Primary practice address
2928 West 36Th St Jbfcs
Brooklyn NY 11224
Phone: (718) 372-3300
Fax: (718) 996-8758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | 1225144983 | New York |
Profile Details
| NPI number | 1174896542 |
|---|---|
| LBN Legal business name | Fenty, Racquel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2012 |
| Last updated | Feb 16th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174896542 | NPPES |
| New York | MEDICAID | 00057385 |
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