Addison, Beverly

Addison, Beverly is an individual health care provider with primary practice located at 459 Columbus Ave , New York NY 10024-5129. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Addison, Beverly can be contacted via phone (917) 796-0106.

Contact Information

Primary practice address
459 Columbus Ave New York NY 10024-5129
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X P127818 New York

Profile Details

NPI number 1144065939
LBN Legal business name Addison, Beverly
Credentials MHC-LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2024
Last updated Jun 25th, 2024 - about 5 months 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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