Laverty, Mary Ann
Laverty, Mary Ann is an individual health care provider with primary practice located at 1724 5Th Ave , Troy NY 12180-3320. 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. Laverty, Mary Ann can be contacted via phone (518) 272-3918.Contact Information
Primary practice address
1724 5Th Ave
Troy NY 12180-3320
Phone: (518) 272-3918
Fax: (518) 272-6391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 656937-1 | New York |
Profile Details
| NPI number | 1114289972 |
|---|---|
| LBN Legal business name | Laverty, Mary Ann |
| Credentials | RNMSN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2012 |
| Last updated | Jun 8th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114289972 | NPPES |
| New York | MEDICAID | 1851452767 |
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