Dryfoos, Jacqueline H
Dryfoos, Jacqueline H is an individual health care provider with primary practice located at 200 West 57 Suite 205, Nyc NY 10019-3211. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dryfoos, Jacqueline H can be contacted via phone (212) 757-3490.Contact Information
Primary practice address
200 West 57 Suite 205
Nyc NY 10019-3211
Phone: (212) 757-3490
Fax: (212) 737-7837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | PRO 16599 1 | New York |
Profile Details
| NPI number | 1699829085 |
|---|---|
| LBN Legal business name | Dryfoos, Jacqueline H |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699829085 | NPPES |
| New York | Other | PRO16599 1 | NY STATE LICENSE # |
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