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:
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Health care specialties

SpecialtyCodeLicense #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 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992842702 NPPES
New York Other 070999 L.M.S.W. LICENSE NUMBER

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