Etrog, Nathan

Etrog, Nathan is an sole proprietor health care provider with primary practice located at 521 Beach 20Th St , Far Rockaway NY 11691-3645. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Etrog, Nathan can be contacted via phone (718) 869-8822.

Contact Information

Primary practice address
521 Beach 20Th St Far Rockaway NY 11691-3645
Phone: (718) 869-8822
Fax: (718) 869-8829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X R 011933 New York

Profile Details

NPI number 1548388127
LBN Legal business name Etrog, Nathan
Credentials LCSW-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Nov 9th, 2017 - about 7 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 1548388127 NPPES
New York Other R011933 NYS DEPT. OF ED. LICENSE

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