Davis, Jane

Davis, Jane is an individual health care provider with primary practice located at 11020 71St Rd Arista Center For Psychotherapy, Forest Hills NY 11375-4945. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Jane can be contacted via phone (718) 793-3133.

Contact Information

Primary practice address
11020 71St Rd Arista Center For Psychotherapy Forest Hills NY 11375-4945
Phone: (718) 793-3133
Fax: (718) 793-2023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1548325020
LBN Legal business name Davis, Jane
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
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 1548325020 NPPES
New York MEDICAID 00244826

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