Mankoff, Robert Grenfell

Mankoff, Robert Grenfell is an individual health care provider with primary practice located at 4000 Blue Ridge Rd Suite 200, Raleigh NC 27612-4650. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Mankoff, Robert Grenfell can be contacted via phone (919) 782-4981.

Contact Information

Primary practice address
4000 Blue Ridge Rd Suite 200 Raleigh NC 27612-4650
Phone: (919) 782-4981
Fax: (919) 782-2474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1963 North Carolina

Profile Details

NPI number 1104951136
LBN Legal business name Mankoff, Robert Grenfell
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 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 1104951136 NPPES
North Carolina MEDICAID 6000666

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