Potruch, Carol Marcia

Potruch, Carol Marcia is an sole proprietor health care provider with primary practice located at 1527 Franklin Ave Suite 203, Mineola NY 11501-4827. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Potruch, Carol Marcia can be contacted via phone (516) 317-1493.

Contact Information

Primary practice address
1527 Franklin Ave Suite 203 Mineola NY 11501-4827
Phone: (516) 317-1493
Fax: (212) 744-0696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R040274-1 New York

Profile Details

NPI number 1003992611
LBN Legal business name Potruch, Carol Marcia
Credentials LCSW, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
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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