Jones Squall, Beverly

Jones Squall, Beverly is an individual health care provider with primary practice located at 9729 64Th Rd , Rego Park NY 11374-2240. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jones Squall, Beverly can be contacted via phone (718) 896-3400.

Contact Information

Primary practice address
9729 64Th Rd Rego Park NY 11374-2240
Fax: (718) 459-5621
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 18997 New York

Profile Details

NPI number 1295065027
LBN Legal business name Jones Squall, Beverly
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2009
Last updated Dec 29th, 2009 - about 16 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 1295065027 NPPES
New York MEDICAID 00244019

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