Fry, Alicia Jane

Fry, Alicia Jane is an individual health care provider with primary practice located at 8802 Rockaway Beach Blvd , Rockaway Beach NY 11693-1609. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Fry, Alicia Jane can be contacted via phone (718) 634-3461.

Contact Information

Primary practice address
8802 Rockaway Beach Blvd Rockaway Beach NY 11693-1609
Phone: (718) 634-3461
Fax: (718) 851-3470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 079788-1 New York

Profile Details

NPI number 1255997623
LBN Legal business name Fry, Alicia Jane
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2019
Last updated Jun 11th, 2019 - about 5 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 1255997623 NPPES
New York Other 079788-1 NEW YORK STATE DEPARTMENT OF EDUCATION-LICENSED MASTER SOCIAL WORKER

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