Glass, Aviva
Glass, Aviva is an individual health care provider with primary practice located at 5-31 50Th Avenue , Long Island City NY 11101. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Glass, Aviva can be contacted via phone (917) 647-9042.Contact Information
Primary practice address
5-31 50Th Avenue
Long Island City NY 11101
Phone: (917) 647-9042
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 016583 | New York |
Profile Details
| NPI number | 1235189721 |
|---|---|
| LBN Legal business name | Glass, Aviva |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Apr 12th, 2016 - about 9 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 | 1235189721 | NPPES |
| New York | MEDICAID | 00016583 |
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