Zaslaw, Ellen

Zaslaw, Ellen is an sole proprietor health care provider with primary practice located at 215 N Cayuga St Box 46, Ithaca NY 14850-4329. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Zaslaw, Ellen can be contacted via phone (607) 273-0705.

Contact Information

Primary practice address
215 N Cayuga St Box 46 Ithaca NY 14850-4329
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6140 New York

Profile Details

NPI number 1316003486
LBN Legal business name Zaslaw, Ellen
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1316003486 NPPES
New York MEDICAID 00578616

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