Kossak, Phyllis
Kossak, Phyllis is an individual health care provider with primary practice located at 31 Polly Drive , Huntington NY 11743. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Kossak, Phyllis can be contacted via phone (631) 423-1535.Contact Information
Primary practice address
31 Polly Drive
Huntington NY 11743
Phone: (631) 423-1535
Fax: (631) 351-0445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 006747 | New York |
Profile Details
| NPI number | 1245397918 |
|---|---|
| LBN Legal business name | Kossak, Phyllis |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1245397918 | NPPES |
| New York | MEDICAID | 01354094 |
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