Tebout, Ray Ali

Tebout, Ray Ali is an sole proprietor health care provider with primary practice located at 2976 Northern Blvd , Long Island City NY 11101-2822. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Tebout, Ray Ali can be contacted via phone (646) 807-8886.

Contact Information

Primary practice address
2976 Northern Blvd Long Island City NY 11101-2822
Phone: (646) 807-8886
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 26665 New York

Profile Details

NPI number 1194992867
LBN Legal business name Tebout, Ray Ali
Credentials CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2008
Last updated Jan 16th, 2012 - about 13 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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