Schork, Edward Joseph
Schork, Edward Joseph is an sole proprietor health care provider with primary practice located at 523 E Putnam Ave Suite 24, Greenwich CT 06830-4877. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Schork, Edward Joseph can be contacted via phone (203) 448-9742.Contact Information
Primary practice address
523 E Putnam Ave Suite 24
Greenwich CT 06830-4877
Phone: (203) 448-9742
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 008855 | New York |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 001636 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 001636 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 08855 | New York |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 001636 | Connecticut |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 008855 | New York |
Profile Details
| NPI number | 1811948441 |
|---|---|
| LBN Legal business name | Schork, Edward Joseph |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Sep 21st, 2015 - about 9 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 | 1811948441 | NPPES |
| New York | MEDICAID | 01802088 |
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