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Contact Information

SJG PSYCHOTHERAPY INC
626 WILLIS AVE
WILLISTON PARK, NY11596
 Phone: 516-621-2854
 Fax: 516-621-2854
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for SJG PSYCHOTHERAPY INC · (Female)

NPI # 1437207842
Status Active
Credentials
Entity Individual
Enumeration date 01/08/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # R069724 1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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