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
Phone: (914) 919-9309
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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