Khalique, Mariam

Khalique, Mariam is an sole proprietor health care provider with primary practice located at 71 W 23Rd St Brightpoint Health- Headquarters, New York NY 10010-4102. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / School is her primary health care specialty. Khalique, Mariam can be contacted via phone (718) 681-8700.

Contact Information

Primary practice address
71 W 23Rd St Brightpoint Health- Headquarters New York NY 10010-4102
Phone: (718) 681-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-R

Profile Details

NPI number 1679724132
LBN Legal business name Khalique, Mariam
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2008
Last updated Apr 18th, 2017 - about 9 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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