Brazill, Anthony A

Brazill, Anthony A is an sole proprietor health care provider with primary practice located at 300 W 15Th St , Deer Park NY 11729-6304. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Brazill, Anthony A can be contacted via phone (631) 327-9932.

Contact Information

Primary practice address
300 W 15Th St Deer Park NY 11729-6304
Phone: (631) 327-9932
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1982361580
LBN Legal business name Brazill, Anthony A
Credentials MSED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2021
Last updated Nov 18th, 2021 - 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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