Verdonik, Frederick

Verdonik, Frederick is an individual health care provider with primary practice located at 51 Glasgow Ave , Jamestown NY 14701-6413. He recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Verdonik, Frederick can be contacted via phone (716) 664-8611.

Contact Information

Primary practice address
51 Glasgow Ave Jamestown NY 14701-6413
Phone: (716) 664-8611
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 011230 New York
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 011230 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 011230 New York
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 011230 New York
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 011230 New York
Behavioral Health & Social Service Providers / Counseling 103TC1900X 011230 New York
Behavioral Health & Social Service Providers / Family 103TF0000X 011230 New York
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 011230 New York
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 011230 New York

Profile Details

NPI number 1942291968
LBN Legal business name Verdonik, Frederick
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated May 5th, 2014 - about 12 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 1942291968 NPPES
New York MEDICAID 02341940

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