Bragg, Kevin Scott

Bragg, Kevin Scott is an sole proprietor health care provider with primary practice located at 237 Pacific St , Massapequa Park NY 11762-2116. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bragg, Kevin Scott can be contacted via phone (516) 356-1954.

Contact Information

Primary practice address
237 Pacific St Massapequa Park NY 11762-2116
Fax: (516) 798-2939
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R043029-1 New York

Profile Details

NPI number 1023271566
LBN Legal business name Bragg, Kevin Scott
Credentials LCSW CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2008
Last updated Jul 3rd, 2008 - about 16 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.

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