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
Phone: (917) 435-8070
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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 5 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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