Smith, Michael C
Smith, Michael C is an individual health care provider with primary practice located at 209 Clinton St , Brooklyn NY 11201-6268. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, Michael C can be contacted via phone (917) 693-0762.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 006451-1 | New York |
Profile Details
| NPI number | 1235196239 |
|---|---|
| LBN Legal business name | Smith, Michael C |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Oct 19th, 2010 - about 14 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 | 1235196239 | NPPES |
| New York | MEDICAID | 00925897 | |
| New York | Other | 164634 |
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