Rodriguez, Chasity Angelita

Rodriguez, Chasity Angelita is an sole proprietor health care provider with primary practice located at 1419 Shakespeare Ave , Bronx NY 10452-1851. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Rodriguez, Chasity Angelita can be contacted via phone (171) 873-2708.

Contact Information

Primary practice address
1419 Shakespeare Ave Bronx NY 10452-1851
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 7211008A New York

Profile Details

NPI number 1124492038
LBN Legal business name Rodriguez, Chasity Angelita
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2015
Last updated Nov 17th, 2015 - about 10 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 1124492038 NPPES
New York MEDICAID 141397918

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