Roca, Donna
Roca, Donna is an individual health care provider with primary practice located at 8268 164Th St Pavilion 151, Jamaica NY 11432-1121. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roca, Donna can be contacted via phone (718) 883-3321.Contact Information
Primary practice address
8268 164Th St Pavilion 151
Jamaica NY 11432-1121
Phone: (718) 883-3321
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 076085-1 | New York |
Profile Details
| NPI number | 1427090117 |
|---|---|
| LBN Legal business name | Roca, Donna |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Jul 30th, 2010 - about 16 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 | 1427090117 | NPPES |
| New York | MEDICAID | 00245221 |
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