Ruby, Ellen

Ruby, Ellen is an sole proprietor health care provider with primary practice located at 26 Club Ln , Sag Harbor NY 11963-2112. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ruby, Ellen can be contacted via phone (631) 725-1769.

Contact Information

Primary practice address
26 Club Ln Sag Harbor NY 11963-2112
Phone: (631) 725-1769
Fax: (631) 725-1769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CASAC2385 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X R-028959-1 New York

Profile Details

NPI number 1164720306
LBN Legal business name Ruby, Ellen
Credentials LCSW, CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2011
Last updated Mar 12th, 2011 - about 15 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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