Croy, Jared

Croy, Jared is an individual health care provider with primary practice located at 80 Sharron Ave , Plattsburgh NY 12901-4700. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Croy, Jared can be contacted via phone (518) 561-1447.

Contact Information

Primary practice address
80 Sharron Ave Plattsburgh NY 12901-4700
Fax: (518) 562-8812
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 28536 New York

Profile Details

NPI number 1023441177
LBN Legal business name Croy, Jared
Credentials CIT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2013
Last updated Aug 13th, 2013 - about 13 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 1023441177 NPPES
New York MEDICAID 03008257

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