Vidalon, Jennifer Lynn
Vidalon, Jennifer Lynn is an sole proprietor health care provider with primary practice located at 3602 14Th St , Long Island City NY 11106-4704. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Vidalon, Jennifer Lynn can be contacted via phone (718) 392-2510.Contact Information
Primary practice address
3602 14Th St
Long Island City NY 11106-4704
Phone: (718) 392-2510
Fax: (718) 392-2637
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 1041S0200X | 080538 | New York |
Profile Details
NPI number | 1477818797 |
---|---|
LBN Legal business name | Vidalon, Jennifer Lynn |
Credentials | LMSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 12th, 2012 |
Last updated | Jul 12th, 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.
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