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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245360189 NPPES
New York MEDICAID 02533099

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