Doctor Name: | MR. RONALD POLLOCK |
NPI Number: | 1043375736 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.C.S.W. |
License Number: | PR018448-1 |
Business Practice Address: | 5 Dorchester Rd Smithtown, NY - 117875402 |
Business Phone Number: | 6313601414 |
Business Fax Number: | 6313601414 |
Mailing Address: | 5 Dorchester Rd, SMITHTOWN |
State: | NY |
Postal Code: | 117875402 |
Phone Number: | 6313601414 |
Fax Number: | 6313601414 |
NPI Enumeration Date: | 12/25/2006 |
NPI Last Update Date: | 09/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | PR018448-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |