Scallon, Richard

Scallon, Richard is an individual health care provider with primary practice located at 11030 221St St , Queens Village NY 11429-2531. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Scallon, Richard can be contacted via phone (718) 464-1800.

Contact Information

Primary practice address
11030 221St St Queens Village NY 11429-2531
Phone: (718) 464-1800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 003586-1 New York

Profile Details

NPI number 1952323164
LBN Legal business name Scallon, Richard
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952323164 NPPES
New York MEDICAID 01655229

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