Rolon, Ivette

Rolon, Ivette is an sole proprietor health care provider with primary practice located at Fordham, Tremont 260 East 188Th Street, Bronx NY 10458-5302. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Rolon, Ivette can be contacted via phone (718) 960-0477.

Contact Information

Primary practice address
Fordham, Tremont 260 East 188Th Street Bronx NY 10458-5302
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1215090923
LBN Legal business name Rolon, Ivette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215090923 NPPES
New York MEDICAID ZP60477F

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