Small, Jonathan
Small, Jonathan is an individual health care provider with primary practice located at 163 Fleets Cove Rd , Huntington NY 11743-1517. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Small, Jonathan can be contacted via phone (631) 838-3932.Contact Information
Primary practice address
163 Fleets Cove Rd
Huntington NY 11743-1517
Phone: (631) 838-3932
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 013618-1 | New York |
Profile Details
| NPI number | 1174545305 |
|---|---|
| LBN Legal business name | Small, Jonathan |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Mar 15th, 2016 - about 10 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 | 1174545305 | NPPES |
| New York | MEDICAID | 01922201 |
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