Brantch, Conetta Embodu Natasha

Brantch, Conetta Embodu Natasha is an sole proprietor health care provider with primary practice located at 18535 Jordan Ave , Saint Albans NY 11412-2305. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brantch, Conetta Embodu Natasha can be contacted via phone (917) 435-8070.

Contact Information

Primary practice address
18535 Jordan Ave Saint Albans NY 11412-2305
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 085956-1 New York

Profile Details

NPI number 1508464900
LBN Legal business name Brantch, Conetta Embodu Natasha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2020
Last updated Oct 16th, 2020 - about 4 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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