Bagdan, Liza Ellen
Bagdan, Liza Ellen is an sole proprietor health care provider with primary practice located at 497 Rockaway Ave , Valley Stream NY 11581-1909. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Bagdan, Liza Ellen can be contacted via phone (718) 845-2621.Contact Information
Primary practice address
497 Rockaway Ave
Valley Stream NY 11581-1909
Phone: (718) 845-2621
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | NYCPS-P-4584 | New York |
Profile Details
| NPI number | 1417770645 |
|---|---|
| LBN Legal business name | Bagdan, Liza Ellen |
| Credentials | PEER COUNSELOR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 5th, 2024 |
| Last updated | Nov 5th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417770645 | NPPES |
| New York | Other | 907214704 | LICENSE |
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