Isaksen, Kristofer Mark

Isaksen, Kristofer Mark is an individual health care provider with primary practice located at 2277 Grand Ave , Baldwin NY 11510-3148. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Isaksen, Kristofer Mark can be contacted via phone (516) 377-5400.

Contact Information

Primary practice address
2277 Grand Ave Baldwin NY 11510-3148
Phone: (516) 377-5400
Fax: (516) 377-5490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 104745 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 096585 New York

Profile Details

NPI number 1790337590
LBN Legal business name Isaksen, Kristofer Mark
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2019
Last updated Mar 26th, 2024 - about 2 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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