Beck, Stanis M

Beck, Stanis M is an individual health care provider with primary practice located at 534 Deer Park Ave , Babylon NY 11702. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Beck, Stanis M can be contacted via phone (631) 587-1924.

Contact Information

Primary practice address
534 Deer Park Ave Babylon NY 11702
Phone: (631) 587-1924
Fax: (631) 893-0618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R0139281 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC00266900 New Jersey

Profile Details

NPI number 1205985348
LBN Legal business name Beck, Stanis M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 19 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 1205985348 NPPES
New York Other NY040 MEDIATOR CERTIFICATION
New York MEDICAID 01526778 MEDIATOR CERTIFICATION

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