O'Gorman, Joseph

O'Gorman, Joseph is an sole proprietor health care provider with primary practice located at 3802 Seneca St , West Seneca NY 14224-3433. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. O'Gorman, Joseph can be contacted via phone (716) 677-5418.

Contact Information

Primary practice address
3802 Seneca St West Seneca NY 14224-3433
Phone: (716) 677-5418
Fax: (716) 677-4240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0121001 New York

Profile Details

NPI number 1245389634
LBN Legal business name O'Gorman, Joseph
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245389634 NPPES
New York Other 00020912401 UNIVERA
New York Other 6190503 UNIVERA
New York MEDICAID 01617830 UNIVERA
New York Other 000523348003 UNIVERA

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