Rodriguez, Anne
Rodriguez, Anne is an sole proprietor health care provider with primary practice located at 220 Roanoke Ave , Riverhead NY 11901-2755. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rodriguez, Anne can be contacted via phone (631) 506-0284.Contact Information
Primary practice address
220 Roanoke Ave
Riverhead NY 11901-2755
Phone: (631) 506-0284
Fax: (631) 506-0285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P046121 | New York |
Profile Details
| NPI number | 1508922063 |
|---|---|
| LBN Legal business name | Rodriguez, Anne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| 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 | 1508922063 | NPPES |
| New York | MEDICAID | 02426391 |
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