Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 9115278 | NY |
NPI | 1447616123 |
---|---|
Provider Name | Enid Cintron |
First Address | Saddle River, NJ 07458-0573 |
Second Address | Saddle River, NJ 07458-2500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2016 |
Last Update Date | 11/01/2016 |