Minakan, Riesa P

Minakan, Riesa P is an individual health care provider with primary practice located at 6 Gramatan Ave C/O Wjcs, Mount Vernon NY 10550-3208. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Minakan, Riesa P can be contacted via phone (914) 668-8938.

Contact Information

Primary practice address
6 Gramatan Ave C/O Wjcs Mount Vernon NY 10550-3208
Phone: (914) 668-8938
Fax: (914) 668-2545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 083778 New York

Profile Details

NPI number 1558683912
LBN Legal business name Minakan, Riesa P
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2010
Last updated Jun 20th, 2011 - about 13 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 1558683912 NPPES
Connecticut MEDICAID 004235918

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