Smith, Elaine Ambandos

Smith, Elaine Ambandos is an individual health care provider with primary practice located at 148 Jacques Ave , Staten Island NY 10306-3028. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Elaine Ambandos can be contacted via phone (718) 351-8728.

Contact Information

Primary practice address
148 Jacques Ave Staten Island NY 10306-3028
Phone: (718) 351-8728
Fax: (718) 442-7018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X PR043774 New York

Profile Details

NPI number 1972562049
LBN Legal business name Smith, Elaine Ambandos
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Jul 8th, 2007 - about 18 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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