Novak, Bethany
Novak, Bethany is an sole proprietor health care provider with primary practice located at 312 E 94Th St , New York NY 10128-5604. She recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as her primary health care specialty. Novak, Bethany can be contacted via phone (212) 423-2900.Contact Information
Primary practice address
312 E 94Th St
New York NY 10128-5604
Phone: (212) 423-2900
Fax: (212) 423-2920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | 330008-1 | New York |
Profile Details
| NPI number | 1093736696 |
|---|---|
| LBN Legal business name | Novak, Bethany |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1093736696 | NPPES |
| New York | Other | 11350513 | CAQH |
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