Radcliffe, Nicholas
Radcliffe, Nicholas is an sole proprietor health care provider with primary practice located at 585 N Barry Ave , Mamaroneck NY 10543-1633. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Radcliffe, Nicholas can be contacted via phone (914) 473-1474.Contact Information
Primary practice address
585 N Barry Ave
Mamaroneck NY 10543-1633
Phone: (914) 473-1474
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 015286 | New York |
Profile Details
| NPI number | 1801019724 |
|---|---|
| LBN Legal business name | Radcliffe, Nicholas |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jul 8th, 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 | 1801019724 | NPPES |
| New York | MEDICAID | 02595839 |
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