Itskowitch, Michele
Itskowitch, Michele is an individual health care provider with primary practice located at 1155 Park Avenue Medical Suite B, Ny NY 10128. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Itskowitch, Michele can be contacted via phone (212) 734-5491.Contact Information
Primary practice address
1155 Park Avenue Medical Suite B
Ny NY 10128
Phone: (212) 734-5491
Fax: (212) 987-8466
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 052879 | New York |
Profile Details
NPI number | 1538296165 |
---|---|
LBN Legal business name | Itskowitch, Michele |
Credentials | LICENSED CLINICAL SO |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 28th, 2007 |
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 | 1538296165 | NPPES |
New York | Other | P2540129 | OXFORD INS |
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