Birnbaum, Israel

Birnbaum, Israel is an individual health care provider with primary practice located at 111 Beach Dr , West Islip NY 11795-4929. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Birnbaum, Israel can be contacted via phone (631) 587-1600.

Contact Information

Primary practice address
111 Beach Dr West Islip NY 11795-4929
Phone: (631) 587-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 005888-1 New York

Profile Details

NPI number 1790720159
LBN Legal business name Birnbaum, Israel
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Jul 8th, 2007 - about 17 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 1790720159 NPPES
New York MEDICAID 01616215

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