Connelly, Karin

Connelly, Karin is an individual health care provider with primary practice located at 1 Commons Dr , Lake Katrine NY 12449-5149. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Connelly, Karin can be contacted via phone (845) 750-0476.

Contact Information

Primary practice address
1 Commons Dr Lake Katrine NY 12449-5149
Phone: (845) 750-0476
Fax: (845) 336-4014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 012496 New York

Profile Details

NPI number 1356393052
LBN Legal business name Connelly, Karin
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Dec 30th, 2013 - about 11 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 1356393052 NPPES
New York MEDICAID 00354316

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