Maiello, Jerry Frank
Maiello, Jerry Frank is an sole proprietor health care provider with primary practice located at 331 Ushers Road Northway 10 Professional Park, Ballston Lake NY 12019. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Maiello, Jerry Frank can be contacted via phone (518) 371-1122.Contact Information
Primary practice address
331 Ushers Road Northway 10 Professional Park
Ballston Lake NY 12019
Phone: (518) 371-1122
Fax: (518) 437-6565
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | PR024915-1 | New York |
Profile Details
NPI number | 1124053897 |
---|---|
LBN Legal business name | Maiello, Jerry Frank |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 11th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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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