Protter, Barry S
Protter, Barry S is an sole proprietor health care provider with primary practice located at 305 W 86Th St Suite 3B, New York NY 10024-3110. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Psychoanalysis. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Protter, Barry S can be contacted via phone (212) 580-8769.Contact Information
Primary practice address
305 W 86Th St Suite 3B
New York NY 10024-3110
Phone: (212) 580-8769
Fax: (212) 580-8769
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 004813-1 | New York |
Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 004813-1 | New York |
Behavioral Health & Social Service Providers / Psychoanalysis | 103TP0814X | 004813-1 | New York |
Profile Details
NPI number | 1518177211 |
---|---|
LBN Legal business name | Protter, Barry S |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 23rd, 2007 |
Last updated | Feb 2nd, 2017 - about 7 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 | 1518177211 | NPPES |
New York | MEDICAID | 01161499 |
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