Lyden, Martin Joseph
Lyden, Martin Joseph is an sole proprietor health care provider with primary practice located at 267 Hoosick St , Troy NY 12180-2467. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Lyden, Martin Joseph can be contacted via phone (518) 271-6949.Contact Information
Primary practice address
267 Hoosick St
Troy NY 12180-2467
Phone: (518) 271-6949
Fax: (518) 449-7965
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 006029 | New York |
Profile Details
NPI number | 1215926456 |
---|---|
LBN Legal business name | Lyden, Martin Joseph |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 20th, 2005 |
Last updated | Oct 8th, 2010 - about 14 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 | 1215926456 | NPPES |
New York | MEDICAID | 00568790 | |
New York | Other | 6111201 | |
New York | Other | 141721313 | |
New York | Other | 41171 | |
New York | Other | 000490239002 | |
New York | Other | 58184 |
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