Beck, Stanis M
Beck, Stanis M is an individual health care provider with primary practice located at 534 Deer Park Ave , Babylon NY 11702. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Beck, Stanis M can be contacted via phone (631) 587-1924.Contact Information
Primary practice address
534 Deer Park Ave
Babylon NY 11702
Phone: (631) 587-1924
Fax: (631) 893-0618
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R0139281 | New York |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC00266900 | New Jersey |
Profile Details
NPI number | 1205985348 |
---|---|
LBN Legal business name | Beck, Stanis M |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 9th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205985348 | NPPES |
New York | Other | NY040 | MEDIATOR CERTIFICATION |
New York | MEDICAID | 01526778 | MEDIATOR CERTIFICATION |
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