Bean, Gloria Sophia

Bean, Gloria Sophia is an sole proprietor health care provider with primary practice located at 770 Grand Blvd , Deer Park NY 11729-5750. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Bean, Gloria Sophia can be contacted via phone (631) 392-4357.

Contact Information

Primary practice address
770 Grand Blvd Deer Park NY 11729-5750
Phone: (631) 392-4357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X CRPA-5838 New York

Profile Details

NPI number 1326896580
LBN Legal business name Bean, Gloria Sophia
Credentials CRPA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2024
Last updated May 10th, 2024 - about 7 months 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.

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