Vankoolwijk, Vivian

Vankoolwijk, Vivian is an individual health care provider with primary practice located at 1 Craig B Gariepy Ave , Islip Terrace NY 11752-2820. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Vankoolwijk, Vivian can be contacted via phone (631) 581-1778.

Contact Information

Primary practice address
1 Craig B Gariepy Ave Islip Terrace NY 11752-2820
Phone: (631) 581-1778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 077181-1 New York
Behavioral Health & Social Service Providers / School 1041S0200X 077181--1 New York

Profile Details

NPI number 1225347644
LBN Legal business name Vankoolwijk, Vivian
Credentials LMSA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2010
Last updated Oct 4th, 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.

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