Addison, Kyesha
Addison, Kyesha is an sole proprietor health care provider with primary practice located at 998 Crooked Hill Rd Bldg 71 , Brentwood NY 11717-1019. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Addison, Kyesha can be contacted via phone (631) 951-2209.Contact Information
Primary practice address
998 Crooked Hill Rd Bldg 71
Brentwood NY 11717-1019
Phone: (631) 951-2209
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1366125999 |
|---|---|
| LBN Legal business name | Addison, Kyesha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2023 |
| Last updated | Aug 10th, 2023 - about last year |
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.
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