Donoghue, John Michael

Donoghue, John Michael is an individual health care provider with primary practice located at Suite 208A 3771 Nesconset Hwy. , South Setauket NY 11720-1154. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Donoghue, John Michael can be contacted via phone (631) 751-9600.

Contact Information

Primary practice address
Suite 208A 3771 Nesconset Hwy. South Setauket NY 11720-1154
Phone: (631) 751-9600
Fax: (631) 369-5433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R016427-1 New York

Profile Details

NPI number 1376580555
LBN Legal business name Donoghue, John Michael
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 9th, 2007 - about 18 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 1376580555 NPPES
New York MEDICAID 02522021

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