Pereira, Selwyn Jack
Pereira, Selwyn Jack is an individual health care provider with primary practice located at 775 Park Ave Ste 1105, Huntington NY 11743. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Pereira, Selwyn Jack can be contacted via phone (631) 784-7704.Contact Information
Primary practice address
775 Park Ave Ste 1105
Huntington NY 11743
Phone: (631) 784-7704
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 079774 | New York |
Profile Details
| NPI number | 1396826012 |
|---|---|
| LBN Legal business name | Pereira, Selwyn Jack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 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 | 1396826012 | NPPES |
| Other | 038092 | VALUE OPTIONS | |
| Other | 0036914 | VALUE OPTIONS |
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