Clifford, Candice Rose

Clifford, Candice Rose is an sole proprietor health care provider with primary practice located at 320 Carleton Ave Ste 8800 , Central Islip NY 11722-4506. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Clifford, Candice Rose can be contacted via phone (631) 663-4300.

Contact Information

Primary practice address
320 Carleton Ave Ste 8800 Central Islip NY 11722-4506
Fax: (631) 633-4350
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X New York

Profile Details

NPI number 1215507116
LBN Legal business name Clifford, Candice Rose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2021
Last updated Jul 1st, 2021 - about 3 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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