Prespare Bennett, Anna L

Prespare Bennett, Anna L is an individual health care provider with primary practice located at 3043 State Route 4 , Hudson Falls NY 12839-9632. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Prespare Bennett, Anna L can be contacted via phone (518) 747-2284.

Contact Information

Primary practice address
3043 State Route 4 Hudson Falls NY 12839-9632
Phone: (518) 747-2284
Fax: (518) 747-2253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 00076352 New York

Profile Details

NPI number 1154349280
LBN Legal business name Prespare Bennett, Anna L
Credentials LCSW-R
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Oct 7th, 2011 - about 13 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 1154349280 NPPES
Other 000415214001 EMPIRE BC/BS BLUE CARD
Other 000415214001 EMPIRE BC/BS BLUE CARD
Other 11645160 EMPIRE BC/BS BLUE CARD
Other 000415214001 EMPIRE BC/BS BLUE CARD
Other 000415214001 EMPIRE BC/BS BLUE CARD
MEDICAID 00076352 EMPIRE BC/BS BLUE CARD
Other J400000216 EMPIRE BC/BS BLUE CARD
Other 53088 EMPIRE BC/BS BLUE CARD

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