Madore, Tyler

Madore, Tyler is an individual health care provider with primary practice located at 500 Peconic St Apt 113B , Ronkonkoma NY 11779-7127. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Madore, Tyler can be contacted via phone (203) 841-8259.

Contact Information

Primary practice address
500 Peconic St Apt 113B Ronkonkoma NY 11779-7127
Phone: (203) 841-8259
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 096032 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 087600 New York

Profile Details

NPI number 1639696628
LBN Legal business name Madore, Tyler
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2017
Last updated Nov 14th, 2018 - about 8 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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