John, Justine

John, Justine is an individual health care provider with primary practice located at 7559 263Rd St , Glen Oaks NY 11004-1150. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. John, Justine can be contacted via phone (718) 470-8014.

Contact Information

Primary practice address
7559 263Rd St Glen Oaks NY 11004-1150
Phone: (718) 470-8014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1629645114
LBN Legal business name John, Justine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2021
Last updated Jun 4th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629645114 NPPES
New York MEDICAID 516718347

Popular Providers