Bonczek, James F
Bonczek, James F is an sole proprietor health care provider with primary practice located at 118 E 28Th St 315, New York NY 10016-8413. He recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as his primary health care specialty. Bonczek, James F can be contacted via phone (917) 449-6296.Contact Information
Primary practice address
118 E 28Th St 315
New York NY 10016-8413
Phone: (917) 449-6296
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Exclusive Provider Organization | 302F00000X | R0308131 | New York |
Profile Details
| NPI number | 1356409932 |
|---|---|
| LBN Legal business name | Bonczek, James F |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356409932 | NPPES |
| New York | MEDICAID | N4K8210 |
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