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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

NPI Number 1437207842
LBN Legal business name SJG PSYCHOTHERAPY INC
Authorized official SUSAN GUIDA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NY License # R069724 1
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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