Profis, Irina

Profis, Irina is an sole proprietor health care provider with primary practice located at 130 Franklin Ave Fl 1 , Hasbrouck Heights NJ 07604-1204. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Profis, Irina can be contacted via phone (718) 614-7355.

Contact Information

Primary practice address
130 Franklin Ave Fl 1 Hasbrouck Heights NJ 07604-1204
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 057385 New York

Profile Details

NPI number 1932270808
LBN Legal business name Profis, Irina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Oct 7th, 2020 - about 4 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 1932270808 NPPES
New York MEDICAID 00057385

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