Jeronimo, Angela

Jeronimo, Angela is an individual health care provider with primary practice located at 115 Liberty St , Bath NY 14810-1508. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Jeronimo, Angela can be contacted via phone (607) 776-6577.

Contact Information

Primary practice address
115 Liberty St Bath NY 14810-1508
Phone: (607) 776-6577
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1518057363
LBN Legal business name Jeronimo, Angela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
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 1518057363 NPPES
New York MEDICAID 00047257

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