Avery, Rebecca
Avery, Rebecca is an individual health care provider with primary practice located at 2841 Thousand Acres Rd , Delanson NY 12053-1917. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Avery, Rebecca can be contacted via phone (518) 875-6141.Contact Information
Primary practice address
2841 Thousand Acres Rd
Delanson NY 12053-1917
Phone: (518) 875-6141
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 942750151 | New York |
Profile Details
| NPI number | 1699155176 |
|---|---|
| LBN Legal business name | Avery, Rebecca |
| Credentials | M.S. ED, CAS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2015 |
| Last updated | Jun 1st, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699155176 | NPPES |
| New York | Other | 942750151 | NEW YORK STATE EDUCATION DEPARTMENT |
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