Mann, Dore

Mann, Dore is an sole proprietor health care provider with primary practice located at 4747 46Th St Apt 1F , Woodside NY 11377-6544. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mann, Dore can be contacted via phone (347) 843-3692.

Contact Information

Primary practice address
4747 46Th St Apt 1F Woodside NY 11377-6544
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 089817 New York

Profile Details

NPI number 1669874327
LBN Legal business name Mann, Dore
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2014
Last updated Sep 24th, 2014 - about 12 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 1669874327 NPPES
New York MEDICAID 777777

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