Squillace, Jacques Godfrey

Squillace, Jacques Godfrey is an individual health care provider with primary practice located at 659 Park Avenue , West Hempstead NY 11552-3718. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Squillace, Jacques Godfrey can be contacted via phone (516) 565-6146.

Contact Information

Primary practice address
659 Park Avenue West Hempstead NY 11552-3718
Phone: (516) 565-6146
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R0373851 New York

Profile Details

NPI number 1740329192
LBN Legal business name Squillace, Jacques Godfrey
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 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.

Request for update

Popular Providers