Gershgorin, Bela
Gershgorin, Bela is an sole proprietor health care provider with primary practice located at 2004 Seagirt Blvd , Far Rockaway NY 11691-2802. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gershgorin, Bela can be contacted via phone (718) 868-8668.Contact Information
Primary practice address
2004 Seagirt Blvd
Far Rockaway NY 11691-2802
Phone: (718) 868-8668
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | R074056-1 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R074056-1 | New York |
Profile Details
| NPI number | 1235295544 |
|---|---|
| LBN Legal business name | Gershgorin, Bela |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Feb 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235295544 | NPPES |
| New York | MEDICAID | 02482873 | |
| New York | Other | G300133806 |
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