Ross, Betty J

Ross, Betty J is an individual health care provider with primary practice located at 2215 43Rd Ave , Long Island City NY 11101-5018. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ross, Betty J can be contacted via phone (718) 389-5100.

Contact Information

Primary practice address
2215 43Rd Ave Long Island City NY 11101-5018
Phone: (718) 389-5100
Fax: (718) 752-4809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 052649 New York

Profile Details

NPI number 1265688840
LBN Legal business name Ross, Betty J
Credentials LCSW-R
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2008
Last updated Mar 24th, 2015 - about 10 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 1265688840 NPPES
New York MEDICAID 03676033

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