Corman, Polly Jo
Corman, Polly Jo is an individual health care provider with primary practice located at 218 Birchwood Ave , Nyack NY 10960. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Corman, Polly Jo can be contacted via phone (845) 348-0721.Contact Information
Primary practice address
218 Birchwood Ave
Nyack NY 10960
Phone: (845) 348-0721
Fax: (845) 348-0721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 051386 | New York |
Profile Details
| NPI number | 1518980648 |
|---|---|
| LBN Legal business name | Corman, Polly Jo |
| Credentials | LCSW R |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 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 | 1518980648 | NPPES |
| New York | MEDICAID | 01717133 |
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