Ploog, Bertram Oliver

Ploog, Bertram Oliver is an sole proprietor health care provider with primary practice located at 56 Saint Marks Pl , Staten Island NY 10301-1607. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Ploog, Bertram Oliver can be contacted via phone (718) 982-4083.

Contact Information

Primary practice address
56 Saint Marks Pl Staten Island NY 10301-1607
Phone: (718) 982-4083
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 000065-1 New York
Behavioral Health & Social Service Providers / Psychologist 103T00000X 021285 New York

Profile Details

NPI number 1841426665
LBN Legal business name Ploog, Bertram Oliver
Credentials PH.D., BCBA-D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2009
Last updated Nov 30th, 2015 - about 10 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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