Waldman, Penni Nicole
Waldman, Penni Nicole is an sole proprietor health care provider with primary practice located at 153 Main St Suite F-5, Mount Kisco NY 10549-2317. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Waldman, Penni Nicole can be contacted via phone (914) 961-8412.Contact Information
Primary practice address
153 Main St Suite F-5
Mount Kisco NY 10549-2317
Phone: (914) 961-8412
Fax: (914) 961-8412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0154791 | New York |
Profile Details
| NPI number | 1467407015 |
|---|---|
| LBN Legal business name | Waldman, Penni Nicole |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2006 |
| Last updated | Apr 7th, 2016 - 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 | 1467407015 | NPPES |
| New York | Other | VM3691 | MEDICARE |
| New York | MEDICAID | 02410584 | MEDICARE |
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