Petroski, Judith Arden
Petroski, Judith Arden is an individual health care provider with primary practice located at 114 Genesee St , New Hartford NY 13413-2329. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Petroski, Judith Arden can be contacted via phone (315) 733-0520.Contact Information
Primary practice address
114 Genesee St
New Hartford NY 13413-2329
Phone: (315) 733-0520
Fax: (315) 733-0518
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R056155 | New York |
Profile Details
| NPI number | 1689698631 |
|---|---|
| LBN Legal business name | Petroski, Judith Arden |
| Credentials | LSWR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Mar 15th, 2019 - about 6 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 | 1689698631 | NPPES |
| New York | MEDICAID | 02562870 |
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