Kristal, Jill

Kristal, Jill is an sole proprietor health care provider with primary practice located at 2 Madison Ave Ste 201 , Larchmont NY 10538-1961. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kristal, Jill can be contacted via phone (914) 374-7497.

Contact Information

Primary practice address
2 Madison Ave Ste 201 Larchmont NY 10538-1961
Phone: (914) 374-7497
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 010041 New York

Profile Details

NPI number 1700960283
LBN Legal business name Kristal, Jill
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Jan 9th, 2022 - 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.

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