Blank, Marcia

Blank, Marcia is an sole proprietor health care provider with primary practice located at 46 Barberry Ln , Roslyn Heights NY 11577-1502. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Blank, Marcia can be contacted via phone (516) 621-4278.

Contact Information

Primary practice address
46 Barberry Ln Roslyn Heights NY 11577-1502
Fax: (516) 621-4275
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X R13959 New York

Profile Details

NPI number 1154461879
LBN Legal business name Blank, Marcia
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154461879 NPPES
New York Other 7493669 EMPIRE

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