Small, Michael J

Small, Michael J is an sole proprietor health care provider with primary practice located at 49 Fawn Way , Long Lake NY 12847-0130. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Small, Michael J can be contacted via phone (518) 624-3346.

Contact Information

Primary practice address
49 Fawn Way Long Lake NY 12847-0130
Phone: (518) 624-3346
Fax: (518) 624-5557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 013837 New York

Profile Details

NPI number 1992914360
LBN Legal business name Small, Michael J
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
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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