Balkcom, Elder Danny

Balkcom, Elder Danny is an individual health care provider with primary practice located at 9729 64Th Rd , Rego Park NY 11374-2240. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Balkcom, Elder Danny can be contacted via phone (718) 896-3400.

Contact Information

Primary practice address
9729 64Th Rd Rego Park NY 11374-2240
Phone: (718) 896-3400
Fax: (718) 459-5621
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1689831513
LBN Legal business name Balkcom, Elder Danny
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2008
Last updated May 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689831513 NPPES
New York MEDICAID 00244019

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