Smalls, Ada
Smalls, Ada is an sole proprietor health care provider with primary practice located at 199 Dunderberg Rd , Central Valley NY 10917-3507. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Smalls, Ada can be contacted via phone (845) 460-6400.Contact Information
Primary practice address
199 Dunderberg Rd
Central Valley NY 10917-3507
Phone: (845) 460-6400
Fax: (845) 460-6041
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 1041S0200X | 074314 | New York |
Profile Details
NPI number | 1881951721 |
---|---|
LBN Legal business name | Smalls, Ada |
Credentials | LMSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 17th, 2012 |
Last updated | Apr 17th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881951721 | NPPES |
New York | MEDICAID | 122299580 |
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