Goelitz, Ann Marie
Goelitz, Ann Marie is an sole proprietor health care provider with primary practice located at 272 N Bedford Rd Ste 204, Mount Kisco NY 10549-1168. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goelitz, Ann Marie can be contacted via phone (646) 265-5028.Contact Information
Primary practice address
272 N Bedford Rd Ste 204
Mount Kisco NY 10549-1168
Phone: (646) 265-5028
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P061788-1 | New York |
Profile Details
| NPI number | 1376745059 |
|---|---|
| LBN Legal business name | Goelitz, Ann Marie |
| Credentials | PHD, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2007 |
| Last updated | Sep 28th, 2020 - about 6 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 | 1376745059 | NPPES |
| New York | Other | A300017156 | MEDICARE PTAN |
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