Bagby, Patricia

Bagby, Patricia is an individual health care provider with primary practice located at 1151 30Th Rd , Long Island City NY 11102-4032. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bagby, Patricia can be contacted via phone (212) 318-4067.

Contact Information

Primary practice address
1151 30Th Rd Long Island City NY 11102-4032
Phone: (212) 318-4067
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 009108 New York

Profile Details

NPI number 1578551180
LBN Legal business name Bagby, Patricia
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1578551180 NPPES
Nebraska Other 0010793 GHI
Nebraska MEDICAID 01 922 710 GHI
Nebraska Other 176929 GHI

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