Stallworth, Vanzetta Yvonne

Stallworth, Vanzetta Yvonne is an individual health care provider with primary practice located at 1329 Beach Channel Drive , Far Rockaway NY 11691. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Stallworth, Vanzetta Yvonne can be contacted via phone (718) 337-6850.

Contact Information

Primary practice address
1329 Beach Channel Drive Far Rockaway NY 11691
Phone: (718) 337-6850
Fax: (718) 868-3782
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12572 New York

Profile Details

NPI number 1831310424
LBN Legal business name Stallworth, Vanzetta Yvonne
Credentials CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 18 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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