Bercovitz, James Michael

Bercovitz, James Michael is an sole proprietor health care provider with primary practice located at 189 Main St Ste 203 , Oneonta NY 13820-2580. 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 is his primary health care specialty. Bercovitz, James Michael can be contacted via phone (607) 436-9159.

Contact Information

Primary practice address
189 Main St Ste 203 Oneonta NY 13820-2580
Phone: (607) 436-9159
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 011359 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 011359 New York

Profile Details

NPI number 1821148289
LBN Legal business name Bercovitz, James Michael
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Oct 5th, 2010 - about 15 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 1821148289 NPPES
New York MEDICAID 01603754

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