Blatt, Marcia
Blatt, Marcia is an sole proprietor health care provider with primary practice located at 865 Hawkins Ave , Lake Grove NY 11755-3217. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Blatt, Marcia can be contacted via phone (631) 471-1800.Contact Information
Primary practice address
865 Hawkins Ave
Lake Grove NY 11755-3217
Phone: (631) 471-1800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 003678 | New York |
Profile Details
| NPI number | 1598192114 |
|---|---|
| LBN Legal business name | Blatt, Marcia |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2013 |
| Last updated | Sep 27th, 2013 - about 12 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 | 1598192114 | NPPES |
| New York | MEDICAID | 116003118 |
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