Hertzog, Melanie Pyke

Hertzog, Melanie Pyke is an individual health care provider with primary practice located at 114 Clinton St , Binghamton NY 13905-2212. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hertzog, Melanie Pyke can be contacted via phone (607) 763-2724.

Contact Information

Primary practice address
114 Clinton St Binghamton NY 13905-2212
Phone: (607) 763-2724
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R033176 New York

Profile Details

NPI number 1831131663
LBN Legal business name Hertzog, Melanie Pyke
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Dec 10th, 2014 - about 10 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 1831131663 NPPES
New York Other 000025736 EXCELLUS (BC/BS)
New York MEDICAID 07300033176 EXCELLUS (BC/BS)

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