Annis, S. Leslie
Annis, S. Leslie is an sole proprietor health care provider with primary practice located at 2904 203Rd St , Bayside NY 11360-2336. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Annis, S. Leslie can be contacted via phone (718) 631-2748.Contact Information
Primary practice address
2904 203Rd St
Bayside NY 11360-2336
Phone: (718) 631-2748
Fax: (718) 732-2880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSWR 027552-1 | New York |
Profile Details
| NPI number | 1194709519 |
|---|---|
| LBN Legal business name | Annis, S. Leslie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Jun 18th, 2010 - about 16 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 | 1194709519 | NPPES |
| New York | MEDICAID | 01988105 |
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