Poller, Jill Poller
Poller, Jill Poller is an sole proprietor health care provider with primary practice located at 11 Riverside Dr Apt 1Pw , New York NY 10023-2533. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Poller, Jill Poller can be contacted via phone (212) 787-0331.Contact Information
Primary practice address
11 Riverside Dr Apt 1Pw
New York NY 10023-2533
Phone: (212) 787-0331
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 6400 | New York |
Profile Details
| NPI number | 1598957789 |
|---|---|
| LBN Legal business name | Poller, Jill Poller |
| Credentials | PSY. D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2007 |
| Last updated | Aug 13th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598957789 | NPPES |
| New York | Other | 6400 | PSYCHOLOGIST LICENSE |
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