Paul Steven Poretzky in Leonia - Clinical

Paul Steven Poretzky - NPI 1528160298

Paul Steven Poretzky is a Clinical in Leonia, New Jersey. Paul Steven Poretzky practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paul Steven Poretzky is 1528160298. The last update date is 2007-07-08.

Paul Steven Poretzky's current location address is 311 Beechwood Pl, Leonia, New Jersey. You can contact this provider via phone number 2015851409 and fax number 2015857948. The mailing address for Paul Steven Poretzky is 311 Beechwood Pl, Leonia, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Steven Poretzky
Address 311 Beechwood Pl, Leonia, New Jersey
Phone Number 2015851409
Fax Number 2015857948
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1528160298
Provider Enumeration Date 2006-09-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 311 Beechwood Pl
City Leonia
State New Jersey (NJ)
Post Code 76051712
Phone Number 2015851409
Fax Number 2015857948

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 2834
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9910 NY LICENSE
2834 NJ LICENSE

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FAQs about Paul Steven Poretzky

What is the unique identification code assigned to Paul Steven Poretzky by the Centers for Medicare & Medicaid Services?

The Paul Steven Poretzky has been issued the NPI (National Provider Identifier) 1528160298. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Paul Steven Poretzky's facilities are geographically located?

The facilities of Paul Steven Poretzky are physically situated at the following location: 311 Beechwood Pl, Leonia, NJ, 76051712.

What is Paul Steven Poretzky's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Paul Steven Poretzky is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.

On what date did the Paul Steven Poretzky receive its 1528160298 assignment from the Centers for Medicare & Medicaid Services?

The Paul Steven Poretzky was assigned its 1528160298 by the Centers for Medicare & Medicaid Services on 2006-09-02.

When was the information related to Paul Steven Poretzky most recently updated or refreshed?

The details pertaining to the Paul Steven Poretzky, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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