Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 0222223-1 | NY |
NPI | 1003119702 |
---|---|
Provider Name | Nancy Bave |
First Address | White Plains, NY 10605-2209 |
Second Address | White Plains, NY 10605-2209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2010 |
Last Update Date | 08/05/2017 |