Orenbakh, Grigory
Orenbakh, Grigory is an sole proprietor health care provider with primary practice located at 821 Newburg Ave , Valley Stream NY 11581-3107. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Orenbakh, Grigory can be contacted via phone (917) 657-0290.Contact Information
Primary practice address
821 Newburg Ave
Valley Stream NY 11581-3107
Phone: (917) 657-0290
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 014896 | New York |
Profile Details
| NPI number | 1366533754 |
|---|---|
| LBN Legal business name | Orenbakh, Grigory |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Apr 18th, 2023 - about 2 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 | 1366533754 | NPPES |
| New York | MEDICAID | 02204608 |
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