Klein, Jane L

Klein, Jane L is an sole proprietor health care provider with primary practice located at 711 Harris Ave , Staten Island NY 10314-4305. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Klein, Jane L can be contacted via phone (718) 982-9122.

Contact Information

Primary practice address
711 Harris Ave Staten Island NY 10314-4305
Phone: (718) 982-9122
Fax: (781) 982-9122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X RP048198-1 New York

Profile Details

NPI number 1770572026
LBN Legal business name Klein, Jane L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Mar 18th, 2013 - about 13 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 1770572026 NPPES
New York Other 11461335 UBH
New York Other 706065000 UBH
New York Other N497Y1 UBH
New York Other 7338219 UBH
New York Other P-12001072 UBH
New York Other 373234 UBH
New York Other P2878510 UBH
New York Other 100691P UBH

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