Wallace, Jessica
Wallace, Jessica is an sole proprietor health care provider with primary practice located at 15 Grumman Rd W Ste 1000 , Bethpage NY 11714-5028. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Wallace, Jessica can be contacted via phone (516) 465-4700.Contact Information
Primary practice address
15 Grumman Rd W Ste 1000
Bethpage NY 11714-5028
Phone: (516) 465-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 117144 | New York |
Profile Details
| NPI number | 1649751801 |
|---|---|
| LBN Legal business name | Wallace, Jessica |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2018 |
| Last updated | Mar 24th, 2023 - about 2 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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