Sandberg, Mark
Sandberg, Mark is an individual health care provider with primary practice located at 200 Belle Terre Rd , Port Jefferson NY 11777-1928. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Sandberg, Mark can be contacted via phone (631) 474-6000.Contact Information
Primary practice address
200 Belle Terre Rd
Port Jefferson NY 11777-1928
Phone: (631) 474-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 010083 | New York |
Profile Details
| NPI number | 1831191709 |
|---|---|
| LBN Legal business name | Sandberg, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| 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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