Renadette, Nichole Marie

Renadette, Nichole Marie is an sole proprietor health care provider with primary practice located at 22005 Jamaica Ave , Queens Village NY 11428-2140. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Renadette, Nichole Marie can be contacted via phone (718) 740-5000.

Contact Information

Primary practice address
22005 Jamaica Ave Queens Village NY 11428-2140
Phone: (718) 740-5000
Fax: (718) 479-0200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 078153 New York

Profile Details

NPI number 1407094170
LBN Legal business name Renadette, Nichole Marie
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2009
Last updated Feb 3rd, 2009 - about 15 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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