Borget-De Vos, Michele Marie

Borget-De Vos, Michele Marie is an individual health care provider with primary practice located at 4770 Sunrise Hwy Suite 105, Massapequa Park NY 11762-2911. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Borget-De Vos, Michele Marie can be contacted via phone (516) 643-2169.

Contact Information

Primary practice address
4770 Sunrise Hwy Suite 105 Massapequa Park NY 11762-2911
Phone: (516) 643-2169
Fax: (516) 804-9603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R072327-1 New York

Profile Details

NPI number 1790963262
LBN Legal business name Borget-De Vos, Michele Marie
Credentials LCSW-R
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2008
Last updated Dec 23rd, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790963262 NPPES
New York Other 12360799 CAQH

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