Ozegovich, Mary

Ozegovich, Mary is an sole proprietor health care provider with primary practice located at 6 Suffolk Ln , East Islip NY 11730-2210. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ozegovich, Mary can be contacted via phone (631) 921-3558.

Contact Information

Primary practice address
6 Suffolk Ln East Islip NY 11730-2210
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0453061 New York

Profile Details

NPI number 1184786170
LBN Legal business name Ozegovich, Mary
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
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 1184786170 NPPES
New York Other P575344 OXFORD
New York Other 7483559 OXFORD
New York Other 5801237 OXFORD
New York Other 082947 OXFORD
New York Other 142071 OXFORD
New York Other N0G881 OXFORD

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