O'Loughlin, Michael Anthony

O'Loughlin, Michael Anthony is an individual health care provider with primary practice located at 15 Laurel Dr , New Hyde Park NY 11040-2148. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. O'Loughlin, Michael Anthony can be contacted via phone (516) 414-4438.

Contact Information

Primary practice address
15 Laurel Dr New Hyde Park NY 11040-2148
Phone: (516) 414-4438
Fax: (516) 775-6131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 014848 New York

Profile Details

NPI number 1982822003
LBN Legal business name O'Loughlin, Michael Anthony
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 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 1982822003 NPPES
New York MEDICAID 02228962

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