Fuentes, Alan
Fuentes, Alan is an sole proprietor health care provider with primary practice located at 27 Liberty Square , Stony Point NY 10980. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fuentes, Alan can be contacted via phone (845) 429-6900.Contact Information
Primary practice address
27 Liberty Square
Stony Point NY 10980
Phone: (845) 429-6900
Fax: (845) 429-7050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R054103 | New York |
Profile Details
| NPI number | 1194970608 |
|---|---|
| LBN Legal business name | Fuentes, Alan |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 25th, 2008 |
| Last updated | Nov 25th, 2008 - about 18 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 | 1194970608 | NPPES |
| New York | MEDICAID | 02180803 |
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