Provenza, Denise
Provenza, Denise is an individual health care provider with primary practice located at 104 70 Queens Blvd Suite 200, Forest Hills NY 11375-3694. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Provenza, Denise can be contacted via phone (718) 275-6010.Contact Information
Primary practice address
104 70 Queens Blvd Suite 200
Forest Hills NY 11375-3694
Phone: (718) 275-6010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1508048307 |
|---|---|
| LBN Legal business name | Provenza, Denise |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2007 |
| Last updated | Dec 4th, 2007 - about 18 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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