Sullum, David Moshe
Sullum, David Moshe is an sole proprietor health care provider with primary practice located at 2 Miron Drive , Poughkeepsie NY 12603. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Sullum, David Moshe can be contacted via phone (845) 462-1259.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 010911-1 | New York |
Profile Details
| NPI number | 1679669287 |
|---|---|
| LBN Legal business name | Sullum, David Moshe |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679669287 | NPPES |
| New York | MEDICAID | 01450086 |
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