Cannon, Gabriella Anna

Cannon, Gabriella Anna is an sole proprietor health care provider with primary practice located at 1403 Ackerson Blvd , Bay Shore NY 11706-3841. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Cannon, Gabriella Anna can be contacted via phone (631) 943-7737.

Contact Information

Primary practice address
1403 Ackerson Blvd Bay Shore NY 11706-3841
Phone: (631) 943-7737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1780221051
LBN Legal business name Cannon, Gabriella Anna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2019
Last updated Dec 5th, 2019 - about 6 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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