Blumenfeld, Jeanine Marie
Blumenfeld, Jeanine Marie is an individual health care provider with primary practice located at 12 Pelham Ave , Nanuet NY 10954-3428. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blumenfeld, Jeanine Marie can be contacted via phone (845) 624-5802.Contact Information
Primary practice address
12 Pelham Ave
Nanuet NY 10954-3428
Phone: (845) 624-5802
Fax: (845) 624-2755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R039862-1 | New York |
Profile Details
| NPI number | 1073702445 |
|---|---|
| LBN Legal business name | Blumenfeld, Jeanine Marie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2007 |
| Last updated | Oct 22nd, 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 | 1073702445 | NPPES |
| New York | Other | R039862-1 | LCSW |
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