Ureke, Mirca Michael

Ureke, Mirca Michael is an individual health care provider with primary practice located at 8 Freer St , Lynbrook NY 11563-2816. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ureke, Mirca Michael can be contacted via phone (516) 209-1303.

Contact Information

Primary practice address
8 Freer St Lynbrook NY 11563-2816
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R053804-1 New York

Profile Details

NPI number 1952395089
LBN Legal business name Ureke, Mirca Michael
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2005
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952395089 NPPES
New York MEDICAID 02631703

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