Wiener, Jack -
Wiener, Jack - is an sole proprietor health care provider with primary practice located at 165 West 66Th St 98 Riverside Drive, Suite 1A, New York NY 10023-1002. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as his primary health care specialty. Wiener, Jack - can be contacted via phone (212) 874-7105.Contact Information
Primary practice address
165 West 66Th St 98 Riverside Drive, Suite 1A
New York NY 10023-1002
Phone: (212) 874-7105
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychoanalyst | 102L00000X | 000453 | New York |
Profile Details
| NPI number | 1154542314 |
|---|---|
| LBN Legal business name | Wiener, Jack - |
| Credentials | L.P., NCPSYA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154542314 | NPPES |
| New York | Other | 000453 | LICENSE |
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