Taveras, Jeannette

Taveras, Jeannette is an individual health care provider with primary practice located at 9114 Merrick Blvd Fl 6 , Jamaica NY 11432-5247. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Taveras, Jeannette can be contacted via phone (718) 808-5605.

Contact Information

Primary practice address
9114 Merrick Blvd Fl 6 Jamaica NY 11432-5247
Phone: (718) 808-5605
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1114439502
LBN Legal business name Taveras, Jeannette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2017
Last updated Oct 25th, 2017 - about 9 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 1114439502 NPPES
New York Other 521485076 NEW YORK STATE ID

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