Backilman, Larry

Backilman, Larry is an sole proprietor health care provider with primary practice located at 79 Middleville Rd , Northport NY 11768-2200. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Backilman, Larry can be contacted via phone (631) 261-4400.

Contact Information

Primary practice address
79 Middleville Rd Northport NY 11768-2200
Phone: (631) 261-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 076031 New York

Profile Details

NPI number 1427169184
LBN Legal business name Backilman, Larry
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated May 30th, 2008 - about 16 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.

Request for update

Popular Providers