Zaslaw, Ellen
Zaslaw, Ellen is an sole proprietor health care provider with primary practice located at 215 N Cayuga St Box 46, Ithaca NY 14850-4329. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Zaslaw, Ellen can be contacted via phone (607) 273-0705.Contact Information
Primary practice address
215 N Cayuga St Box 46
Ithaca NY 14850-4329
Phone: (607) 273-0705
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6140 | New York |
Profile Details
| NPI number | 1316003486 |
|---|---|
| LBN Legal business name | Zaslaw, Ellen |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1316003486 | NPPES |
| New York | MEDICAID | 00578616 |
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