Ottaway, Jeanne
Ottaway, Jeanne is an sole proprietor health care provider with primary practice located at 279 Suffolk Ave , Staten Island NY 10314-6948. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Ottaway, Jeanne can be contacted via phone (718) 370-9068.Contact Information
Primary practice address
279 Suffolk Ave
Staten Island NY 10314-6948
Phone: (718) 370-9068
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 012589-1 | New York |
Profile Details
| NPI number | 1699836452 |
|---|---|
| LBN Legal business name | Ottaway, Jeanne |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699836452 | NPPES |
| New York | Other | 9610248 | GHI |
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