Ketover Prilik, Pearl

Ketover Prilik, Pearl is an sole proprietor health care provider with primary practice located at 647 Franklin Ave , Garden City NY 11530-5746. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ketover Prilik, Pearl can be contacted via phone (516) 873-1234.

Contact Information

Primary practice address
647 Franklin Ave Garden City NY 11530-5746
Phone: (516) 873-1234
Fax: (516) 873-1234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R044788-1 New York

Profile Details

NPI number 1215088596
LBN Legal business name Ketover Prilik, Pearl
Credentials Doctor of Social Work (DSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215088596 NPPES
New York Other AS1548 OXFORD INSURANCE

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