Munz, Gloria D

Munz, Gloria D is an individual health care provider with primary practice located at 146 Pike St , Port Jervis NY 12771-1808. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Munz, Gloria D can be contacted via phone (845) 858-1456.

Contact Information

Primary practice address
146 Pike St Port Jervis NY 12771-1808
Fax: (845) 858-1459
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 0700471 New York

Profile Details

NPI number 1326038050
LBN Legal business name Munz, Gloria D
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
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 1326038050 NPPES
New York MEDICAID 00542503

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