Jervis, Timothy E

Jervis, Timothy E is an sole proprietor health care provider with primary practice located at 20 Sickles Ave , New Rochelle NY 10801-4030. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jervis, Timothy E can be contacted via phone (914) 613-0700.

Contact Information

Primary practice address
20 Sickles Ave New Rochelle NY 10801-4030
Phone: (914) 613-0700
Fax: (914) 355-5425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 32080 New York

Profile Details

NPI number 1790317956
LBN Legal business name Jervis, Timothy E
Credentials CASAC-T CRPA-P
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2020
Last updated Feb 6th, 2020 - 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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