Herman, Paul

Herman, Paul is an individual health care provider with primary practice located at 141 Dosoris Ln , Glen Cove NY 11542-1225. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Herman, Paul can be contacted via phone (516) 676-1100.

Contact Information

Primary practice address
141 Dosoris Ln Glen Cove NY 11542-1225
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 014308-1 New York

Profile Details

NPI number 1063430700
LBN Legal business name Herman, Paul
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063430700 NPPES
New York MEDICAID 02155186

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