Custodio, Evelyn C

Custodio, Evelyn C is an sole proprietor health care provider with primary practice located at 1915 Harman St Apt B , Ridgewood NY 11385-1930. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Custodio, Evelyn C can be contacted via phone (347) 658-3858.

Contact Information

Primary practice address
1915 Harman St Apt B Ridgewood NY 11385-1930
Phone: (347) 658-3858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1740678564
LBN Legal business name Custodio, Evelyn C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2014
Last updated Dec 31st, 2014 - about 12 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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