Pertchik, Kevin C

Pertchik, Kevin C is an sole proprietor health care provider with primary practice located at One West Avenue Suite 205, Saratoga Springs NY 12866. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Pertchik, Kevin C can be contacted via phone (518) 587-0499.

Contact Information

Primary practice address
One West Avenue Suite 205 Saratoga Springs NY 12866
Phone: (518) 587-0499
Fax: (518) 587-0536
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 015853-1 New York
Behavioral Health & Social Service Providers / Psychologist 103T00000X 015853-1 New York

Profile Details

NPI number 1780606988
LBN Legal business name Pertchik, Kevin C
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Oct 4th, 2010 - about 15 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 1780606988 NPPES
New York MEDICAID 02525693

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