Koprevich, Mary Erin

Koprevich, Mary Erin is an sole proprietor health care provider with primary practice located at 2680 Grand Island Blvd , Grand Island NY 14072-1693. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Koprevich, Mary Erin can be contacted via phone (716) 573-7026.

Contact Information

Primary practice address
2680 Grand Island Blvd Grand Island NY 14072-1693
Phone: (716) 573-7026
Fax: (716) 773-5642
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 058006 New York

Profile Details

NPI number 1417954678
LBN Legal business name Koprevich, Mary Erin
Credentials CRC, LCSW-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2005
Last updated Oct 14th, 2009 - about 15 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 1417954678 NPPES
New York Other 213352471 UNITED BEHAVIORAL HEALTH
New York Other 6213037 UNITED BEHAVIORAL HEALTH
New York Other 000 2731 6601 UNITED BEHAVIORAL HEALTH
New York MEDICAID 02247661 UNITED BEHAVIORAL HEALTH
New York Other 000 528 268 001 UNITED BEHAVIORAL HEALTH

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