Vinciquerra, Michele
Vinciquerra, Michele is an sole proprietor health care provider with primary practice located at 528 Oak St , Syracuse NY 13203-1643. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Vinciquerra, Michele can be contacted via phone (315) 474-4036.Contact Information
Primary practice address
528 Oak St
Syracuse NY 13203-1643
Phone: (315) 474-4036
Fax: (315) 463-0517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R035837 | New York |
Profile Details
| NPI number | 1265599179 |
|---|---|
| LBN Legal business name | Vinciquerra, Michele |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265599179 | NPPES |
| New York | MEDICAID | 01701784 |
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