Block, Michael T.

Block, Michael T. is an sole proprietor health care provider with primary practice located at 233 Fairharbor Dr , Patchogue NY 11772-3342. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is his primary health care specialty. Block, Michael T. can be contacted via phone (631) 475-6492.

Contact Information

Primary practice address
233 Fairharbor Dr Patchogue NY 11772-3342
Phone: (631) 475-6492
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R032673 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X

Profile Details

NPI number 1700917366
LBN Legal business name Block, Michael T.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Nov 16th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700917366 NPPES
New York Other 130781 VALUE OPTIONS PROVIDER #
New York Other R032673 VALUE OPTIONS PROVIDER #

Popular Providers