Wander, Fabian Sergio

Wander, Fabian Sergio is an individual health care provider with primary practice located at 6714 41St Ave Woodside Clinic, Woodside NY 11377-3790. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Wander, Fabian Sergio can be contacted via phone (917) 568-3500.

Contact Information

Primary practice address
6714 41St Ave Woodside Clinic Woodside NY 11377-3790
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 075755 New York

Profile Details

NPI number 1457518292
LBN Legal business name Wander, Fabian Sergio
Credentials L.M.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2008
Last updated Mar 15th, 2010 - about 15 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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