Power, Robert Ellis
Power, Robert Ellis is an individual health care provider with primary practice located at 1007 Atlantic Ave Apt 4D , Brooklyn NY 11238-3469. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Power, Robert Ellis can be contacted via phone (516) 586-0001.Contact Information
Primary practice address
1007 Atlantic Ave Apt 4D
Brooklyn NY 11238-3469
Phone: (516) 586-0001
Fax: (516) 530-1838
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | EXEMPT | New York |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Other Service Providers / Community Health Worker | 172V00000X | 3476 | New York |
Other Service Providers / Peer Specialist | 175T00000X | 3476 | New York |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 35587 | New York |
Profile Details
NPI number | 1770046658 |
---|---|
LBN Legal business name | Power, Robert Ellis |
Credentials | PH. D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 9th, 2019 |
Last updated | Feb 8th, 2024 - about 9 months 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 | 1770046658 | NPPES |
Other | CARP-3476 | NY CERTIFICATION BOARD - ASAP OF NEW YORK | |
Other | 01799 | NY CERTIFICATION BOARD - ASAP OF NEW YORK | |
Other | 35587 | NY CERTIFICATION BOARD - ASAP OF NEW YORK |
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