Stevens, Ty Jacob

Stevens, Ty Jacob is an individual health care provider with primary practice located at 462 1St Ave , New York NY 10016. He recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Stevens, Ty Jacob can be contacted via phone (212) 562-4141.

Contact Information

Primary practice address
462 1St Ave New York NY 10016
Phone: (212) 562-4141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 064981 New York

Profile Details

NPI number 1134779895
LBN Legal business name Stevens, Ty Jacob
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2019
Last updated Nov 7th, 2019 - about 7 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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