Raju, Jerry

Raju, Jerry is an individual health care provider with primary practice located at 1069 Hempstead Tpke , Franklin Square NY 11010-2631. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Raju, Jerry can be contacted via phone (516) 865-1146.

Contact Information

Primary practice address
1069 Hempstead Tpke Franklin Square NY 11010-2631
Phone: (516) 865-1146
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1114560752
LBN Legal business name Raju, Jerry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2019
Last updated Oct 28th, 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.

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