Little Penguin in State Island - Group Psychotherapy
Little Penguin - NPI 1720268451
Little Penguin is a Group Psychotherapy in State Island, New York. Little Penguin practices all healthcare services and medical treatments related to Group Psychotherapy. The NPI Number for Little Penguin is 1720268451. The last update date is 2007-11-09.
Little Penguin's current location address is 48 Blueberry Lane, State Island, New York. You can contact this provider via phone number 7189671585 and fax number 7189671585. The mailing address for Little Penguin is 48 Blueberry Lane, State Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Little Penguin |
|---|---|
| Address | 48 Blueberry Lane, State Island, New York |
| Phone Number | 7189671585 |
| Fax Number | 7189671585 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR P |
|---|---|
| Authorized Official Name | Mirochnik Boris |
| Credentials | LCSW |
| Telephone Number | 7189671585 |
NPI Number Detail
| NPI Number | 1720268451 |
|---|---|
| Provider Enumeration Date | 2007-11-09 |
| Last Updated Date | 2007-11-09 |
Provider Mailing Address Detail
| Address | 48 Blueberry Lane |
|---|---|
| City | State Island |
| State | New York (NY) |
| Post Code | 10312 |
| Phone Number | 7189671585 |
| Fax Number | 7189671585 |
Provider's Primary Taxonomy Detail
| Speciality | Group Psychotherapy |
|---|---|
| Taxonomy | 103Tp2701X |
| Licence No | R065562 |
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Definition: A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Little Penguin by the Centers for Medicare & Medicaid Services?
The Little Penguin has been issued the NPI (National Provider Identifier) 1720268451 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Little Penguin's facilities are geographically located?
The facilities of Little Penguin are physically situated at the following location: 48 Blueberry Lane, State Island, NY, 10312.
What is the Little Penguin's area of specialization and corresponding taxonomy classification?
The Little Penguin's specialty field is Group Psychotherapy, and it falls under the taxonomy code 103Tp2701X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1720268451 to Little Penguin?
The Little Penguin received its 1720268451 assignment from the Centers for Medicare & Medicaid Services on 2007-11-09.
As of what date were the Little Penguin's details last updated?
The information pertaining to the Little Penguin, including its address, specialty, and other details, was most recently updated on 2007-11-09.