Liquorman, Steve

Liquorman, Steve is an sole proprietor health care provider with primary practice located at 498 Glen St , Glens Falls NY 12801-2230. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Liquorman, Steve can be contacted via phone (518) 796-5738.

Contact Information

Primary practice address
498 Glen St Glens Falls NY 12801-2230
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 036991-R New York

Profile Details

NPI number 1306903034
LBN Legal business name Liquorman, Steve
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 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 1306903034 NPPES
New York MEDICAID 8I 024214477

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