Speyerer, Ethel

Speyerer, Ethel is an individual health care provider with primary practice located at 8002 Kew Gardens Rd Ste 704 , Kew Gardens NY 11415-3607. 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. Speyerer, Ethel can be contacted via phone (518) 952-8408.

Contact Information

Primary practice address
8002 Kew Gardens Rd Ste 704 Kew Gardens NY 11415-3607
Phone: (518) 952-8408
Fax: (518) 952-8287
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 233782 New York

Profile Details

NPI number 1093168684
LBN Legal business name Speyerer, Ethel
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2016
Last updated Jul 19th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093168684 NPPES
New York MEDICAID 01420795

Popular Providers