Rodriguez, Michael Indenbaum

Rodriguez, Michael Indenbaum is an sole proprietor health care provider with primary practice located at 167 Madison Ave Suite 205 1004 , New York NY 10016. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Rodriguez, Michael Indenbaum can be contacted via phone (929) 244-0018.

Contact Information

Primary practice address
167 Madison Ave Suite 205 1004 New York NY 10016
Phone: (929) 244-0018
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 024679 New York
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 024679 New York
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 024679 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 024679 New York

Profile Details

NPI number 1871114710
LBN Legal business name Rodriguez, Michael Indenbaum
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2020
Last updated Jun 21st, 2023 - about last year

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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