Smith, Jeffrey D
Smith, Jeffrey D is an sole proprietor health care provider with primary practice located at 23 Saint John St , Monticello NY 12701-2149. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, Jeffrey D can be contacted via phone (845) 794-3430.Contact Information
Primary practice address
23 Saint John St
Monticello NY 12701-2149
Phone: (845) 794-3430
Fax: (845) 794-4969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R056850-1 | New York |
Profile Details
| NPI number | 1205131265 |
|---|---|
| LBN Legal business name | Smith, Jeffrey D |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 21st, 2011 |
| Last updated | Jan 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205131265 | NPPES |
| New York | Other | R056850-1 | NYS EDUCATION DEPR |
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