Bousquet, Tracy Hazan

Bousquet, Tracy Hazan is an individual health care provider with primary practice located at 98120 Queens Blvd Ste 1C , Rego Park NY 11374-4414. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bousquet, Tracy Hazan can be contacted via phone (718) 830-0246.

Contact Information

Primary practice address
98120 Queens Blvd Ste 1C Rego Park NY 11374-4414
Phone: (718) 830-0246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SL06560300 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 094756 New York

Profile Details

NPI number 1508465105
LBN Legal business name Bousquet, Tracy Hazan
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2020
Last updated Oct 29th, 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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