Boutros, Peter R

Boutros, Peter R is an sole proprietor health care provider with primary practice located at 40 Delmar Ave Suite A, Staten Island NY 10312-2875. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Boutros, Peter R can be contacted via phone (917) 209-3423.

Contact Information

Primary practice address
40 Delmar Ave Suite A Staten Island NY 10312-2875
Phone: (917) 209-3423
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 003124 New York

Profile Details

NPI number 1477648871
LBN Legal business name Boutros, Peter R
Credentials LMHC, CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Sep 16th, 2008 - 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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