Sandoval, Adalgiza
Sandoval, Adalgiza is an sole proprietor health care provider with primary practice located at 9029 218Th Pl , Queens Village NY 11428-1336. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sandoval, Adalgiza can be contacted via phone (718) 465-4662.Contact Information
Primary practice address
9029 218Th Pl
Queens Village NY 11428-1336
Phone: (718) 465-4662
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R048934-1 | New York |
Profile Details
NPI number | 1245360189 |
---|---|
LBN Legal business name | Sandoval, Adalgiza |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 7th, 2007 |
Last updated | Oct 16th, 2018 - about 6 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 | 1245360189 | NPPES |
New York | MEDICAID | 02533099 |
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