Terry, Fernando

Terry, Fernando is an individual health care provider with primary practice located at 45 Country Club Rd , Ellenville NY 12428-7113. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Terry, Fernando can be contacted via phone (845) 321-4987.

Contact Information

Primary practice address
45 Country Club Rd Ellenville NY 12428-7113
Phone: (845) 321-4987
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1316306475
LBN Legal business name Terry, Fernando
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2016
Last updated Feb 17th, 2016 - 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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