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
Fax: (845) 460-6041
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881951721 NPPES
New York MEDICAID 122299580

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