Avila, Guadalupe
Avila, Guadalupe is an sole proprietor health care provider with primary practice located at 5 Prospect St Apt 2R , New Rochelle NY 10805-2828. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Avila, Guadalupe can be contacted via phone (914) 576-3682.Contact Information
Primary practice address
5 Prospect St Apt 2R
New Rochelle NY 10805-2828
Phone: (914) 576-3682
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 2127083 | New York |
Profile Details
| NPI number | 1790093565 |
|---|---|
| LBN Legal business name | Avila, Guadalupe |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2010 |
| Last updated | Sep 15th, 2010 - about 16 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 | 1790093565 | NPPES |
| New York | MEDICAID | 58195-9781 |
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