Hazlehurst, Idania E

Hazlehurst, Idania E is an individual health care provider with primary practice located at 320 Carleton Ave , Central Islip NY 11722-4506. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Hazlehurst, Idania E can be contacted via phone (631) 234-7807.

Contact Information

Primary practice address
320 Carleton Ave Central Islip NY 11722-4506
Phone: (631) 234-7807
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 077302 New York

Profile Details

NPI number 1710275078
LBN Legal business name Hazlehurst, Idania E
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2011
Last updated May 29th, 2013 - about 11 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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