Atwater, Carol

Atwater, Carol is an sole proprietor health care provider with primary practice located at 945 Route 146 , Clifton Park NY 12065-3649. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Atwater, Carol can be contacted via phone (518) 383-8889.

Contact Information

Primary practice address
945 Route 146 Clifton Park NY 12065-3649
Phone: (518) 383-8889
Fax: (518) 383-8881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 011449 New York

Profile Details

NPI number 1144377862
LBN Legal business name Atwater, Carol
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated May 16th, 2011 - about 15 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 1144377862 NPPES
New York Other 011449 NYS LICENSE #
New York MEDICAID 01627114 NYS LICENSE #

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