Madathil, Renee
Madathil, Renee is an sole proprietor health care provider with primary practice located at 601 Elmwood Ave , Rochester NY 14642-0001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Madathil, Renee can be contacted via phone (585) 275-3271.Contact Information
Primary practice address
601 Elmwood Ave
Rochester NY 14642-0001
Phone: (585) 275-3271
Fax: (585) 442-2949
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 22028 | New York |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 022028 | New York |
Profile Details
NPI number | 1639595879 |
---|---|
LBN Legal business name | Madathil, Renee |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 12th, 2014 |
Last updated | Jun 29th, 2023 - about last year |
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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