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

Primary practice address
209 Clinton St Brooklyn NY 11201-6268
Phone: (917) 693-0762
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #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 15 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 1235196239 NPPES
New York MEDICAID 00925897
New York Other 164634

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