Podolak, Evan R

Podolak, Evan R is an sole proprietor health care provider with primary practice located at 1600 Harrison Ave Suite 307B, Mamaroneck NY 10543-3145. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Podolak, Evan R can be contacted via phone (914) 835-3910.

Contact Information

Primary practice address
1600 Harrison Ave Suite 307B Mamaroneck NY 10543-3145
Phone: (914) 835-3910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 018395-1 New York

Profile Details

NPI number 1831429240
LBN Legal business name Podolak, Evan R
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2010
Last updated May 6th, 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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