Martinez Hicks, Rosa

Martinez Hicks, Rosa is an individual health care provider with primary practice located at 9729 64Th Rd , Rego Park NY 11374-2240. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Martinez Hicks, Rosa can be contacted via phone (718) 896-3400.

Contact Information

Primary practice address
9729 64Th Rd Rego Park NY 11374-2240
Phone: (718) 896-3400
Fax: (718) 459-5621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1891952826
LBN Legal business name Martinez Hicks, Rosa
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2008
Last updated May 19th, 2008 - about 16 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 1891952826 NPPES
New York MEDICAID 00244019

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