Bardach, Irene F
Bardach, Irene F is an sole proprietor health care provider with primary practice located at 17 Spring St , Port Chester NY 10573-4509. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bardach, Irene F can be contacted via phone (914) 937-5877.Contact Information
Primary practice address
17 Spring St
Port Chester NY 10573-4509
Phone: (914) 937-5877
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 081102-1 | New York |
Profile Details
| NPI number | 1881029197 |
|---|---|
| LBN Legal business name | Bardach, Irene F |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2013 |
| Last updated | Sep 5th, 2013 - about 11 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 | 1881029197 | NPPES |
| Other | 081102-1 | LICENSED CLINICAL SOCIAL WORKER, THE UNIVERSITY OF THE STATE OF NEW YORK |
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