Chan, Erin Rose

Chan, Erin Rose is an individual health care provider with primary practice located at 14310 Springfield Blvd Rm 107A, Springfield Gardens NY 11413-3240. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Chan, Erin Rose can be contacted via phone (718) 341-1914.

Contact Information

Primary practice address
14310 Springfield Blvd Rm 107A Springfield Gardens NY 11413-3240
Phone: (718) 341-1914
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 086494 New York

Profile Details

NPI number 1013256445
LBN Legal business name Chan, Erin Rose
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2013
Last updated Jun 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013256445 NPPES
New York MEDICAID 03935504

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