Bederman, Evan Berwin

Bederman, Evan Berwin is an individual health care provider with primary practice located at 9850 67Th Ave Apt. 3H, Rego Park NY 11374-4965. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Bederman, Evan Berwin can be contacted via phone (917) 488-2073.

Contact Information

Primary practice address
9850 67Th Ave Apt. 3H Rego Park NY 11374-4965
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 003023-1 New York

Profile Details

NPI number 1164692182
LBN Legal business name Bederman, Evan Berwin
Credentials L.M.H.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2008
Last updated Oct 27th, 2014 - about 10 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