Pace, Elizabeth Anne
Pace, Elizabeth Anne is an sole proprietor health care provider with primary practice located at 1660 Route 112 Ste B , Port Jefferson Station NY 11776-8057. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pace, Elizabeth Anne can be contacted via phone (631) 253-8512.Contact Information
Primary practice address
1660 Route 112 Ste B
Port Jefferson Station NY 11776-8057
Phone: (631) 253-8512
Fax: (631) 201-2747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 087411-1 | New York |
Profile Details
| NPI number | 1972996163 |
|---|---|
| LBN Legal business name | Pace, Elizabeth Anne |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 11th, 2015 |
| Last updated | Nov 30th, 2022 - about 4 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 | 1972996163 | NPPES |
| New York | MEDICAID | 06222471 |
Popular Providers
-
Provenzano, Catherine
1050 Hallock Ave , Port Jefferson Station NY 11776-1214 -
White, Laurie A
32 Stacy Dr , Port Jefferson Station NY 11776-3162 -
Fera, Natasha
8 Roosevelt Ave , Port Jefferson Station NY 11776-3337 -
Devaney, Audrey
8 Roosevelt Ave , Port Jefferson Station NY 11776-3337 -
Bailey, Alyza D
1500 Route 112 Bldg 4 Suite101, Port Jefferson Station NY 11776 -
Newkirk, Rinkal
55 Nesconset Hwy , Port Jefferson Station NY 11776-2631 -
Weiss, Peyton-Ann
25 Kensington Way , Port Jefferson Station NY 11776-8008 -
Tedeschi, Pamela J
1050 Hallock Ave , Port Jefferson Station NY 11776-1214