Bouman, Alyssa-Ray Leon
Bouman, Alyssa-Ray Leon is an individual health care provider with primary practice located at 100 Route 59 Ste 117 , Airmont NY 10901-4927. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bouman, Alyssa-Ray Leon can be contacted via phone (453) 699-7018.Contact Information
Primary practice address
100 Route 59 Ste 117
Airmont NY 10901-4927
Phone: (453) 699-7018
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 31918 | New York |
Profile Details
| NPI number | 1265098024 |
|---|---|
| LBN Legal business name | Bouman, Alyssa-Ray Leon |
| Credentials | NYS CASAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2019 |
| Last updated | Feb 18th, 2020 - about 4 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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