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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861763971 NPPES
New York Other 7000981 NYS LICENSED MASTER SOCIAL WORKER

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