Roldan Idir, Michelle

Roldan Idir, Michelle is an individual health care provider with primary practice located at 250 W 64Th St , New York NY 10023-6402. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Roldan Idir, Michelle can be contacted via phone (212) 769-6349.

Contact Information

Primary practice address
250 W 64Th St New York NY 10023-6402
Phone: (212) 769-6349
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 088641 New York

Profile Details

NPI number 1053524355
LBN Legal business name Roldan Idir, Michelle
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Oct 26th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053524355 NPPES
New York MEDICAID 1053524355

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