Lyden, Martin Joseph

Lyden, Martin Joseph is an sole proprietor health care provider with primary practice located at 267 Hoosick St , Troy NY 12180-2467. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Lyden, Martin Joseph can be contacted via phone (518) 271-6949.

Contact Information

Primary practice address
267 Hoosick St Troy NY 12180-2467
Phone: (518) 271-6949
Fax: (518) 449-7965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 006029 New York

Profile Details

NPI number 1215926456
LBN Legal business name Lyden, Martin Joseph
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2005
Last updated Oct 8th, 2010 - about 16 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 1215926456 NPPES
New York MEDICAID 00568790
New York Other 6111201
New York Other 141721313
New York Other 41171
New York Other 000490239002
New York Other 58184

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