Tobin, Nicole Marie

Tobin, Nicole Marie is an sole proprietor health care provider with primary practice located at 905 Main St , Port Jefferson NY 11777-2201. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tobin, Nicole Marie can be contacted via phone (631) 455-6951.

Contact Information

Primary practice address
905 Main St Port Jefferson NY 11777-2201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 049172-1 New York

Profile Details

NPI number 1093852691
LBN Legal business name Tobin, Nicole Marie
Credentials R-LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jul 8th, 2007 - about 18 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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