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:
Health care specialties
Specialty | Code | License # | 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 9 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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