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Contact Information

TRACTORHEALTHSOLUTIONS LLC
243 BAYARD STREET
# 724
PORT EWEN, NY12466
 Phone: 646-249-5767
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for TRACTORHEALTHSOLUTIONS LLC

NPI # 1861946154
LBN Legal business name TRACTORHEALTHSOLUTIONS LLC
Authorized official WILLIAM LATIMER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/04/2016
Last updated 08/11/2016 - About 10 years ago
Identifiers
NY License # 080579
NY License # 23700
NY Medicaid 03589764
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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