Sirotnikov, Oleg

Sirotnikov, Oleg is an sole proprietor health care provider with primary practice located at 101 Dartmouth St , Valley Stream NY 11581-3215. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Sirotnikov, Oleg can be contacted via phone (516) 295-2659.

Contact Information

Primary practice address
101 Dartmouth St Valley Stream NY 11581-3215
Phone: (516) 295-2659
Fax: (516) 295-2659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X P058840 New York

Profile Details

NPI number 1578525234
LBN Legal business name Sirotnikov, Oleg
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2006
Last updated Aug 3rd, 2010 - about 15 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 1578525234 NPPES
New York Other P058840 HIP
New York MEDICAID 02247607 HIP
New York Other 2989566 HIP

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