Correa, Wilfredo Male

Correa, Wilfredo Male is an individual health care provider with primary practice located at 770 Grand Blvd Ste 17 , Deer Park NY 11729-5725. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Correa, Wilfredo Male can be contacted via phone (631) 392-4357.

Contact Information

Primary practice address
770 Grand Blvd Ste 17 Deer Park NY 11729-5725
Phone: (631) 392-4357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CRPA-5781 New York

Profile Details

NPI number 1003665829
LBN Legal business name Correa, Wilfredo Male
Credentials CRPA
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2024
Last updated May 14th, 2024 - about 2 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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