Powell, Ellen Florence

Powell, Ellen Florence is an individual health care provider with primary practice located at 80-02 Kew Gardens Rd. Suite 704, Kew Gardens NY 11415. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Powell, Ellen Florence can be contacted via phone (718) 520-1513.

Contact Information

Primary practice address
80-02 Kew Gardens Rd. Suite 704 Kew Gardens NY 11415
Phone: (718) 520-1513
Fax: (718) 520-6460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 7855 New York

Profile Details

NPI number 1659537702
LBN Legal business name Powell, Ellen Florence
Credentials CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2008
Last updated Jul 29th, 2008 - 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 1659537702 NPPES
New York MEDICAID 01420795

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