Braun, Courtney Marie

Braun, Courtney Marie is an individual health care provider with primary practice located at 2450 N Wading River Rd , Wading River NY 11792-1402. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Braun, Courtney Marie can be contacted via phone (631) 929-6200.

Contact Information

Primary practice address
2450 N Wading River Rd Wading River NY 11792-1402
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1619692308
LBN Legal business name Braun, Courtney Marie
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2022
Last updated Sep 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619692308 NPPES
New York MEDICAID 11-1633572

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