Squillace, Helen Ann

Squillace, Helen Ann is an sole proprietor health care provider with primary practice located at 962 Luther Rd , East Greenbush NY 12061-4015. She recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as her primary health care specialty. Squillace, Helen Ann can be contacted via phone (518) 207-2066.

Contact Information

Primary practice address
962 Luther Rd East Greenbush NY 12061-4015
Fax: (518) 207-2067
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X

Profile Details

NPI number 1164707527
LBN Legal business name Squillace, Helen Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2011
Last updated Oct 18th, 2011 - about 13 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 1164707527 NPPES
New York MEDICAID 01409145

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