Penk, James E

Penk, James E is an sole proprietor health care provider with primary practice located at 1311 Union St. , Schenectady NY 12308. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Penk, James E can be contacted via phone (518) 374-6263.

Contact Information

Primary practice address
1311 Union St. Schenectady NY 12308
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R-035359-1 New York

Profile Details

NPI number 1205977972
LBN Legal business name Penk, James E
Credentials LCSW-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 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 1205977972 NPPES
New York MEDICAID 01458644

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