Bronson, Virginia Anne

Bronson, Virginia Anne is an sole proprietor health care provider with primary practice located at 4513 Old Vestal Rd , Vestal NY 13850-3571. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bronson, Virginia Anne can be contacted via phone (607) 427-9382.

Contact Information

Primary practice address
4513 Old Vestal Rd Vestal NY 13850-3571
Fax: (607) 729-6434
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 048042-1 New York

Profile Details

NPI number 1275633067
LBN Legal business name Bronson, Virginia Anne
Credentials LCSW-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2006
Last updated May 11th, 2009 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275633067 NPPES
New York Other 048042-1 LCSW

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