Agate, Jerry
Agate, Jerry is an sole proprietor health care provider with primary practice located at 400 W End Ave Suite 1D, New York NY 10024-5750. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Agate, Jerry can be contacted via phone (212) 362-4098.Contact Information
Primary practice address
400 W End Ave Suite 1D
New York NY 10024-5750
Phone: (212) 362-4098
Fax: (212) 362-4098
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R18126-1 | New York |
Profile Details
NPI number | 1326162819 |
---|---|
LBN Legal business name | Agate, Jerry |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 19th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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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