Klotz, Irene Shane

Klotz, Irene Shane is an sole proprietor health care provider with primary practice located at 3265 Johnson Ave Suite 105, Bronx NY 10463-3539. She recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Other Service Providers / Specialist, Other Service Providers / Health Educator, Allopathic & Osteopathic Physicians / General Practice, Technologists, Technicians & Other Technical Service Providers / Phlebotomy. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Klotz, Irene Shane can be contacted via phone (917) 796-4456.

Contact Information

Primary practice address
3265 Johnson Ave Suite 105 Bronx NY 10463-3539
Phone: (917) 796-4456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 049540-1 New York
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 049540-1 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 049540-1 New York
Other Service Providers / Case Manager/Care Coordinator 171M00000X 049540-1 New York
Other Service Providers / Community Health Worker 172V00000X 049540-1 New York
Other Service Providers / Specialist 174400000X 049540-1 New York
Other Service Providers / Health Educator 174H00000X 049540-1 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 049540-1 New York
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X 049540-1 New York

Profile Details

NPI number 1295171817
LBN Legal business name Klotz, Irene Shane
Credentials LMSW CPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2013
Last updated May 22nd, 2013 - about 12 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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