Smith, Peter Joserph
Smith, Peter Joserph is an individual health care provider with primary practice located at 131 Rt 25A , Rocky Point NY 11778-9098. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, Peter Joserph can be contacted via phone (631) 665-0229.Contact Information
Primary practice address
131 Rt 25A
Rocky Point NY 11778-9098
Phone: (631) 665-0229
Fax: (631) 665-0442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 027153LCSWR | New York |
Profile Details
| NPI number | 1316008485 |
|---|---|
| LBN Legal business name | Smith, Peter Joserph |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Mar 14th, 2017 - about 8 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 | 1316008485 | NPPES |
| New York | MEDICAID | 02432213 |
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