Dayboch, Mark Lawrence
Dayboch, Mark Lawrence is an sole proprietor health care provider with primary practice located at 119 Fifty Acre Rd S , Smithtown NY 11787-2034. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dayboch, Mark Lawrence can be contacted via phone (631) 979-9294.Contact Information
Primary practice address
119 Fifty Acre Rd S
Smithtown NY 11787-2034
Phone: (631) 979-9294
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 009516-1 | New York |
Profile Details
| NPI number | 1023136231 |
|---|---|
| LBN Legal business name | Dayboch, Mark Lawrence |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1023136231 | NPPES |
| New York | MEDICAID | 02012224 |
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