Matos, Vilma E,
Matos, Vilma E, is an sole proprietor health care provider with primary practice located at 39 Georgia St , East Northport NY 11731-2232. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Matos, Vilma E, can be contacted via phone (631) 807-2822.Contact Information
Primary practice address
39 Georgia St
East Northport NY 11731-2232
Phone: (631) 807-2822
Fax: (631) 262-0823
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R026711-1 | New York |
Behavioral Health & Social Service Providers / School | 1041S0200X | 946435991 | New York |
Profile Details
NPI number | 1265896831 |
---|---|
LBN Legal business name | Matos, Vilma E, |
Credentials | LCSW-R |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 11th, 2016 |
Last updated | Apr 11th, 2016 - about 8 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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