Adelsberg, Marc R

Adelsberg, Marc R is an sole proprietor health care provider with primary practice located at 1560 Pelham Pkwy S 1 C, Bronx NY 10461-1114. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Adelsberg, Marc R can be contacted via phone (718) 409-0079.

Contact Information

Primary practice address
1560 Pelham Pkwy S 1 C Bronx NY 10461-1114
Phone: (718) 409-0079
Fax: (718) 409-0079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 9812 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1522 Connecticut

Profile Details

NPI number 1194899922
LBN Legal business name Adelsberg, Marc R
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Mar 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194899922 NPPES
New York MEDICAID 02024248

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