Pena-Tirado, Yanet M
Pena-Tirado, Yanet M is an sole proprietor health care provider with primary practice located at 12 Fillmore Dr , Stony Point NY 10980-3705. 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. Pena-Tirado, Yanet M can be contacted via phone (845) 947-4674.Contact Information
Primary practice address
12 Fillmore Dr
Stony Point NY 10980-3705
Phone: (845) 947-4674
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7000981 | New York |
Behavioral Health & Social Service Providers / School | 1041S0200X | 414996101 | New York |
Profile Details
NPI number | 1861763971 |
---|---|
LBN Legal business name | Pena-Tirado, Yanet M |
Credentials | LMSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 20th, 2012 |
Last updated | Jan 20th, 2012 - about 12 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 | 1861763971 | NPPES |
New York | Other | 7000981 | NYS LICENSED MASTER SOCIAL WORKER |
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