Itskowitch, Michele

Itskowitch, Michele is an individual health care provider with primary practice located at 1155 Park Avenue Medical Suite B, Ny NY 10128. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Itskowitch, Michele can be contacted via phone (212) 734-5491.

Contact Information

Primary practice address
1155 Park Avenue Medical Suite B Ny NY 10128
Phone: (212) 734-5491
Fax: (212) 987-8466
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 052879 New York

Profile Details

NPI number 1538296165
LBN Legal business name Itskowitch, Michele
Credentials LICENSED CLINICAL SO
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jul 8th, 2007 - about 19 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 1538296165 NPPES
New York Other P2540129 OXFORD INS

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