Canfora, Jane

Canfora, Jane is an sole proprietor health care provider with primary practice located at 7 Remsen St , East Northport NY 11731-4926. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Canfora, Jane can be contacted via phone (631) 513-1375.

Contact Information

Primary practice address
7 Remsen St East Northport NY 11731-4926
Phone: (631) 513-1375
Fax: (631) 266-2412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X P062496-1 New York

Profile Details

NPI number 1457532541
LBN Legal business name Canfora, Jane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2007
Last updated Nov 17th, 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 1457532541 NPPES
New York MEDICAID 393339

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