Polin, Robert David

Polin, Robert David is an individual health care provider with primary practice located at 646 Main St Lower Level, Port Jefferson NY 11777. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Polin, Robert David can be contacted via phone (631) 689-8862.

Contact Information

Primary practice address
646 Main St Lower Level Port Jefferson NY 11777
Phone: (631) 689-8862
Fax: (631) 246-6492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R0233061 New York

Profile Details

NPI number 1104964410
LBN Legal business name Polin, Robert David
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 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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