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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194899922 | NPPES |
| New York | MEDICAID | 02024248 |
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