Adams, Maryellen

Adams, Maryellen is an sole proprietor health care provider with primary practice located at 107 W Main St , East Islip NY 11730-2337. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Adams, Maryellen can be contacted via phone (631) 666-1615.

Contact Information

Primary practice address
107 W Main St East Islip NY 11730-2337
Phone: (631) 666-1615
Fax: (631) 666-1709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 011181-01 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1487237301
LBN Legal business name Adams, Maryellen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2021
Last updated Apr 29th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers