Marks, Beth Sandra

Marks, Beth Sandra is an individual health care provider with primary practice located at 617 Twin Arch Rd. , Rock Tavern NY 12575-5324. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Marks, Beth Sandra can be contacted via phone (845) 427-9049.

Contact Information

Primary practice address
617 Twin Arch Rd. Rock Tavern NY 12575-5324
Fax: (845) 427-2704
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R0285761 New Mexico

Profile Details

NPI number 1336291509
LBN Legal business name Marks, Beth Sandra
Credentials LCSWR
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 18 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 1336291509 NPPES
New York Other 0053456 GHI BILLING VALUE OPTIONS
New York Other 124044 GHI BILLING VALUE OPTIONS

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