Hormillosa, Hernando Mirasol
Hormillosa, Hernando Mirasol is an individual health care provider with primary practice located at 8708 Justice Ave Ste C7 , Elmhurst NY 11373-4590. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Hormillosa, Hernando Mirasol can be contacted via phone (718) 899-9810.Contact Information
Primary practice address
8708 Justice Ave Ste C7
Elmhurst NY 11373-4590
Phone: (718) 899-9810
Fax: (718) 899-9699
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
NPI number | 1992842702 |
---|---|
LBN Legal business name | Hormillosa, Hernando Mirasol |
Credentials | L.M.S.W. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 31st, 2007 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992842702 | NPPES |
New York | Other | 070999 | L.M.S.W. LICENSE NUMBER |
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