Forman, Ellen Sari
Forman, Ellen Sari is an sole proprietor health care provider with primary practice located at 430 E Allen St #7, Hudson NY 12534-2423. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Forman, Ellen Sari can be contacted via phone (518) 828-7400.Contact Information
Primary practice address
430 E Allen St #7
Hudson NY 12534-2423
Phone: (518) 828-7400
Fax: (518) 329-1752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 002589 | New York |
Profile Details
| NPI number | 1861607814 |
|---|---|
| LBN Legal business name | Forman, Ellen Sari |
| Credentials | PHD,LCAT,LMHC,CASAC, |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2007 |
| Last updated | Nov 22nd, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861607814 | NPPES |
| New York | Other | 000412063001 | BLUE SHIELD OF NE NY |
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