Lake, Edna

Lake, Edna is an sole proprietor health care provider with primary practice located at 20 Lester Ln , Middle Grove NY 12850-2410. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Lake, Edna can be contacted via phone (518) 226-0777.

Contact Information

Primary practice address
20 Lester Ln Middle Grove NY 12850-2410
Phone: (518) 226-0777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 1617675 New York

Profile Details

NPI number 1558765305
LBN Legal business name Lake, Edna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2014
Last updated Oct 21st, 2014 - about 12 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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