Polokoff, Jayne Stephanie

Polokoff, Jayne Stephanie is an sole proprietor health care provider with primary practice located at 837 Craigville Road , Chester NY 10918. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Polokoff, Jayne Stephanie can be contacted via phone (845) 699-4786.

Contact Information

Primary practice address
837 Craigville Road Chester NY 10918
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1124541495
LBN Legal business name Polokoff, Jayne Stephanie
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2017
Last updated Jul 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124541495 NPPES
New York MEDICAID BV34567

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