Shor, David

Shor, David is an individual health care provider with primary practice located at 601 Broadway , Bayonne NJ 07002-3818. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shor, David can be contacted via phone (201) 339-9200.

Contact Information

Primary practice address
601 Broadway Bayonne NJ 07002-3818
Phone: (201) 339-9200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC00285500 New Jersey

Profile Details

NPI number 1962616045
LBN Legal business name Shor, David
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Jul 9th, 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 1962616045 NPPES
New Jersey MEDICAID 0021806

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