Wofsy, Matthew Steven

Wofsy, Matthew Steven is an sole proprietor health care provider with primary practice located at 6812 Yellowstone Blvd Ste Aa2 , Forest Hills NY 11375-3268. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wofsy, Matthew Steven can be contacted via phone (646) 265-1668.

Contact Information

Primary practice address
6812 Yellowstone Blvd Ste Aa2 Forest Hills NY 11375-3268
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X R049327-1 New York

Profile Details

NPI number 1043376502
LBN Legal business name Wofsy, Matthew Steven
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
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 1043376502 NPPES
New York MEDICAID 02386381

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