Katz, Elisheva Rena

Katz, Elisheva Rena is an individual health care provider with primary practice located at 1 Hamaspik Way , Monroe NY 10950-8451. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Katz, Elisheva Rena can be contacted via phone (845) 655-0600.

Contact Information

Primary practice address
1 Hamaspik Way Monroe NY 10950-8451
Phone: (845) 655-0600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 022597 New York

Profile Details

NPI number 1568837409
LBN Legal business name Katz, Elisheva Rena
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2015
Last updated Jun 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568837409 NPPES
New York Other 022597 LICENSURE NUMBER
New York MEDICAID 05237527 LICENSURE NUMBER
New York Other 1407211 LICENSURE NUMBER

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