Koblenz, Jessica

Koblenz, Jessica is an sole proprietor health care provider with primary practice located at 2540 Shore Blvd 4I, Astoria NY 11102-3941. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Koblenz, Jessica can be contacted via phone (847) 404-0772.

Contact Information

Primary practice address
2540 Shore Blvd 4I Astoria NY 11102-3941
Phone: (847) 404-0772
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 019849 New York

Profile Details

NPI number 1619392560
LBN Legal business name Koblenz, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2014
Last updated Mar 2nd, 2014 - about 10 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

Popular Providers