Edwards, Larry

Edwards, Larry is an individual health care provider with primary practice located at 19005 122Nd Ave Suite A, Springfield Gardens NY 11413-1010. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Edwards, Larry can be contacted via phone (646) 824-5737.

Contact Information

Primary practice address
19005 122Nd Ave Suite A Springfield Gardens NY 11413-1010
Phone: (646) 824-5737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 092982 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 092982 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 092982 New York

Profile Details

NPI number 1699170365
LBN Legal business name Edwards, Larry
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2014
Last updated Oct 24th, 2014 - about 10 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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