Gewirtz, Jill Elizabeth

Gewirtz, Jill Elizabeth is an individual health care provider with primary practice located at 80Th St & 41St Ave , Elmhurst NY 11373-1329. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gewirtz, Jill Elizabeth can be contacted via phone (718) 334-3900.

Contact Information

Primary practice address
80Th St & 41St Ave Elmhurst NY 11373-1329
Phone: (718) 334-3900
Fax: (718) 334-5958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 013355 New York

Profile Details

NPI number 1366518201
LBN Legal business name Gewirtz, Jill Elizabeth
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2006
Last updated Jul 8th, 2007 - about 18 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 1366518201 NPPES
New York MEDICAID 00246075

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