Jeltova, Ida

Jeltova, Ida is an sole proprietor health care provider with primary practice located at 88 W Ridgewood Ave , Ridgewood NJ 07450-3199. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Jeltova, Ida can be contacted via phone (201) 757-0600.

Contact Information

Primary practice address
88 W Ridgewood Ave Ridgewood NJ 07450-3199
Phone: (201) 757-0600
Fax: (201) 757-0600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 017255 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 035SI00527700 New Jersey
Behavioral Health & Social Service Providers / School 103TS0200X 017255 New York

Profile Details

NPI number 1922298421
LBN Legal business name Jeltova, Ida
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2007
Last updated Oct 30th, 2021 - about 4 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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