Gaffin, Ilene

Gaffin, Ilene is an individual health care provider with primary practice located at 120 E Buffalo St Ste 4, Ithaca NY 14850-4266. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gaffin, Ilene can be contacted via phone (607) 275-0558.

Contact Information

Primary practice address
120 E Buffalo St Ste 4 Ithaca NY 14850-4266
Phone: (607) 275-0558
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R022620 New York

Profile Details

NPI number 1699831396
LBN Legal business name Gaffin, Ilene
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Apr 26th, 2021 - about 5 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 1699831396 NPPES
Other 138407 VO BMP
Other 209429 VO BMP
Other 28552230 VO BMP
Other 5059010 VO BMP
Other 0005363002 VO BMP
Other 000914002001 VO BMP

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