Ross, Jake Dylan

Ross, Jake Dylan is an individual health care provider with primary practice located at 351 Manville Rd Ste 109 , Pleasantville NY 10570-2166. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Ross, Jake Dylan can be contacted via phone (914) 919-9309.

Contact Information

Primary practice address
351 Manville Rd Ste 109 Pleasantville NY 10570-2166
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 023603 New York

Profile Details

NPI number 1689208027
LBN Legal business name Ross, Jake Dylan
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2020
Last updated Feb 25th, 2020 - about 5 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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