Barnoski, Edward John
Barnoski, Edward John is an sole proprietor health care provider with primary practice located at 77 Medford Ave Ste D , Patchogue NY 11772-1230. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Barnoski, Edward John can be contacted via phone (631) 366-3369.Contact Information
Primary practice address
77 Medford Ave Ste D
Patchogue NY 11772-1230
Phone: (631) 366-3369
Fax: (631) 366-3369
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 011687-1 | New York |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 011687-1 | New York |
Profile Details
NPI number | 1932134087 |
---|---|
LBN Legal business name | Barnoski, Edward John |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 11th, 2006 |
Last updated | Oct 20th, 2011 - 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 | 1932134087 | NPPES |
New York | MEDICAID | 01503557 |
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