Maldonado, Lillie
Maldonado, Lillie is an sole proprietor health care provider with primary practice located at 804 Sarah St Ste 305 , Stroudsburg PA 18360-1739. 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. Maldonado, Lillie can be contacted via phone (570) 422-6522.Contact Information
Primary practice address
804 Sarah St Ste 305
Stroudsburg PA 18360-1739
Phone: (570) 422-6522
Fax: (570) 422-6524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 457047 | Pennsylvania |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 18746 | New York |
Profile Details
| NPI number | 1881044220 |
|---|---|
| LBN Legal business name | Maldonado, Lillie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2016 |
| Last updated | Jun 16th, 2016 - about 9 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 | 1881044220 | NPPES |
| New York | Other | 18746 | CASAC,BHS,PROGRAM DIRECTOR,CLINICAL |
| New York | Other | 457047 | CASAC,BHS,PROGRAM DIRECTOR,CLINICAL |
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