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Contact Information

PABLO IDEZ, LCSW
97 POWERHOUSE RD STE 104
ROSLYN HEIGHTS, NY11577-2046
 Phone: 347-772-8373
 Fax: 718-225-9201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for PABLO IDEZ · (Male)

NPI # 1952540833
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 02/17/2009
Last updated 12/13/2020 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # P063837-1
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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