Pomeroy, Kim Eileen

Pomeroy, Kim Eileen is an individual health care provider with primary practice located at 2075 New York Ave , Huntington Station NY 11746. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pomeroy, Kim Eileen can be contacted via phone (631) 351-7112.

Contact Information

Primary practice address
2075 New York Ave Huntington Station NY 11746
Fax: (631) 351-0862
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW 073693 New York

Profile Details

NPI number 1447371661
LBN Legal business name Pomeroy, Kim Eileen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447371661 NPPES
New York Other 073693 LCSW

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