Ettori, Bartley J
Ettori, Bartley J is an individual health care provider with primary practice located at 230 North Rd , Poughkeepsie NY 12601-1328. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ettori, Bartley J can be contacted via phone (845) 486-2703.Contact Information
Primary practice address
230 North Rd
Poughkeepsie NY 12601-1328
Phone: (845) 486-2703
Fax: (845) 486-2865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P015203-1 | New York |
Profile Details
| NPI number | 1053303099 |
|---|---|
| LBN Legal business name | Ettori, Bartley J |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| 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 | 1053303099 | NPPES |
| New York | Other | P015203-1 | LCSW LICENSE |
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