Tanaka, Colleen Mary
Tanaka, Colleen Mary is an individual health care provider with primary practice located at 90 Henry St , Inwood NY 11096-2335. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Tanaka, Colleen Mary can be contacted via phone (516) 239-2182.Contact Information
Primary practice address
90 Henry St
Inwood NY 11096-2335
Phone: (516) 239-2182
Fax: (516) 374-1068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 1074492 | New York |
Profile Details
| NPI number | 1265787964 |
|---|---|
| LBN Legal business name | Tanaka, Colleen Mary |
| Credentials | M.S. ED |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2012 |
| Last updated | Jul 18th, 2012 - about 12 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 | 1265787964 | NPPES |
| New York | MEDICAID | 171M000000X |
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