Lasetchuk, Agnes M.
Lasetchuk, Agnes M. is an individual health care provider with primary practice located at 225 Main St. , Port Washington NY 11050-3211. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Lasetchuk, Agnes M. can be contacted via phone (516) 767-1133.Contact Information
Primary practice address
225 Main St.
Port Washington NY 11050-3211
Phone: (516) 767-1133
Fax: (516) 767-3680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | P022983-1 | New York |
Profile Details
| NPI number | 1942597331 |
|---|---|
| LBN Legal business name | Lasetchuk, Agnes M. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2011 |
| Last updated | Jul 6th, 2011 - about 13 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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