King, Purim H.

King, Purim H. is an sole proprietor health care provider with primary practice located at 27 Strawberry Hill Ave Suite 202, Stamford CT 06902-2691. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. King, Purim H. can be contacted via phone (914) 417-1924.

Contact Information

Primary practice address
27 Strawberry Hill Ave Suite 202 Stamford CT 06902-2691
Phone: (914) 417-1924
Fax: (203) 549-0271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 19142 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 079987-1 New York

Profile Details

NPI number 1417146820
LBN Legal business name King, Purim H.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2007
Last updated Mar 5th, 2013 - about 11 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 1417146820 NPPES
New York Other 00473038 GROUP MEDICAID

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