Godoy, Alejandro Alfredo

Godoy, Alejandro Alfredo is an individual health care provider with primary practice located at 20 Montauk Highway , Blue Point NY 11715. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Godoy, Alejandro Alfredo can be contacted via phone (631) 244-0954.

Contact Information

Primary practice address
20 Montauk Highway Blue Point NY 11715
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R0467121 New York

Profile Details

NPI number 1922044635
LBN Legal business name Godoy, Alejandro Alfredo
Credentials LCSW R
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922044635 NPPES
New York MEDICAID 02246835

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