Clancy, Kristie Hubbard

Clancy, Kristie Hubbard is an individual health care provider with primary practice located at 635 James St , Syracuse NY 13203-2226. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clancy, Kristie Hubbard can be contacted via phone (315) 472-3171.

Contact Information

Primary practice address
635 James St Syracuse NY 13203-2226
Phone: (315) 472-3171
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 074099 New York

Profile Details

NPI number 1962550236
LBN Legal business name Clancy, Kristie Hubbard
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Aug 12th, 2010 - about 15 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 1962550236 NPPES
New York MEDICAID 01649605

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