Cordova, Stephany Michelle

Cordova, Stephany Michelle is an individual health care provider with primary practice located at 21410 24Th Ave Ste 2 , Bayside NY 11360-2219. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Cordova, Stephany Michelle can be contacted via phone (347) 321-4094.

Contact Information

Primary practice address
21410 24Th Ave Ste 2 Bayside NY 11360-2219
Phone: (347) 321-4094
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X New York

Profile Details

NPI number 1033889076
LBN Legal business name Cordova, Stephany Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2021
Last updated Sep 20th, 2021 - about 5 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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