Mark, Matthew Adam

Mark, Matthew Adam is an individual health care provider with primary practice located at 156 Beach 9Th St , Far Rockaway NY 11691-5636. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mark, Matthew Adam can be contacted via phone (718) 686-3149.

Contact Information

Primary practice address
156 Beach 9Th St Far Rockaway NY 11691-5636
Fax: (718) 686-4149
Website:

Health care specialties

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

Profile Details

NPI number 1043923675
LBN Legal business name Mark, Matthew Adam
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2022
Last updated Dec 28th, 2022 - about 2 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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