Chess, Joan

Chess, Joan is an individual health care provider with primary practice located at 1000 W Boston Post Road Mamaroneck Ufsd, Mamaroneck NY 10543. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Chess, Joan can be contacted via phone (914) 220-3620.

Contact Information

Primary practice address
1000 W Boston Post Road Mamaroneck Ufsd Mamaroneck NY 10543
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1659655512
LBN Legal business name Chess, Joan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2011
Last updated Oct 10th, 2011 - about 13 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 1659655512 NPPES
New York MEDICAID 01395326

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