Balk, Jill A

Balk, Jill A is an sole proprietor health care provider with primary practice located at 15 Edgewood Pl , Huntington Station NY 11746-1306. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Balk, Jill A can be contacted via phone (631) 385-9855.

Contact Information

Primary practice address
15 Edgewood Pl Huntington Station NY 11746-1306
Phone: (631) 385-9855
Fax: (631) 351-3533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R023629 New York

Profile Details

NPI number 1104970201
LBN Legal business name Balk, Jill A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 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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