Mandarino, Carol Elaine
Mandarino, Carol Elaine is an individual health care provider with primary practice located at 233 Union Ave , Holbrook NY 11741. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mandarino, Carol Elaine can be contacted via phone (631) 220-4048.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R054256 | New York |
Profile Details
| NPI number | 1437271152 |
|---|---|
| LBN Legal business name | Mandarino, Carol Elaine |
| Credentials | LCSW CASAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1437271152 | NPPES |
| New York | Other | 11531727 | CAQH |
| New York | Other | 563095 | CAQH |
| New York | MEDICAID | 02751760 | CAQH |
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