Polite, Derrick R

Polite, Derrick R is an sole proprietor health care provider with primary practice located at 89-31 161Th Street , Jamaica NY 11432. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Polite, Derrick R can be contacted via phone (718) 206-0218.

Contact Information

Primary practice address
89-31 161Th Street Jamaica NY 11432
Phone: (718) 206-0218
Fax: (718) 206-1091
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 72 085056 New York

Profile Details

NPI number 1023376084
LBN Legal business name Polite, Derrick R
Credentials LMSW CASAC-T
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2012
Last updated Apr 27th, 2012 - about 14 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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