Ronquillo, Angelene
Ronquillo, Angelene is an individual health care provider with primary practice located at 2209 Genesee St , Utica NY 13501-5930. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ronquillo, Angelene can be contacted via phone (315) 798-8160.Contact Information
Primary practice address
2209 Genesee St
Utica NY 13501-5930
Phone: (315) 798-8160
Fax: (315) 798-8397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 011564-1 | New York |
Profile Details
| NPI number | 1013934157 |
|---|---|
| LBN Legal business name | Ronquillo, Angelene |
| Credentials | Surgical Technician (ST) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1013934157 | NPPES |
| New York | MEDICAID | 00279901 |
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