Antipas, Christopher Paul
Antipas, Christopher Paul is an sole proprietor health care provider with primary practice located at 1350 Route 112 , Port Jefferson Station NY 11776-3078. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Antipas, Christopher Paul can be contacted via phone (631) 745-9005.Contact Information
Primary practice address
1350 Route 112
Port Jefferson Station NY 11776-3078
Phone: (631) 745-9005
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 010539-1 | New York |
Profile Details
| NPI number | 1326084617 |
|---|---|
| LBN Legal business name | Antipas, Christopher Paul |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Aug 2nd, 2010 - about 14 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 | 1326084617 | NPPES |
| New York | MEDICAID | 01651165 |
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