Montijo, Anne Marie
Montijo, Anne Marie is an sole proprietor health care provider with primary practice located at 1050 Hallock Ave , Port Jefferson Station NY 11776-1214. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Montijo, Anne Marie can be contacted via phone (631) 428-6475.Contact Information
Primary practice address
1050 Hallock Ave
Port Jefferson Station NY 11776-1214
Phone: (631) 428-6475
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R045239-1 | New York |
Profile Details
| NPI number | 1891904488 |
|---|---|
| LBN Legal business name | Montijo, Anne Marie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1891904488 | NPPES |
| New York | Other | R045239-1 | LICENSE NUMBER |
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