Black, Ancilla

Black, Ancilla is an sole proprietor health care provider with primary practice located at 881 Lorenz Ave , North Baldwin NY 11510-2822. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Black, Ancilla can be contacted via phone (516) 514-4793.

Contact Information

Primary practice address
881 Lorenz Ave North Baldwin NY 11510-2822
Phone: (516) 514-4793
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1689045833
LBN Legal business name Black, Ancilla
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2015
Last updated Oct 14th, 2015 - about 11 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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