Margolis, Irene Susan
Margolis, Irene Susan is an individual health care provider with primary practice located at 13 Potomac Court , Coram NY 11727-1661. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Margolis, Irene Susan can be contacted via phone (631) 331-9688.Contact Information
Primary practice address
13 Potomac Court
Coram NY 11727-1661
Phone: (631) 331-9688
Fax: (631) 331-3020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R0459561 | New York |
Profile Details
| NPI number | 1891862280 |
|---|---|
| LBN Legal business name | Margolis, Irene Susan |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891862280 | NPPES |
| New York | MEDICAID | 61022401554 |
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