Cottone, John Gregory

Cottone, John Gregory is an sole proprietor health care provider with primary practice located at 1099 North Country Rd Suite L, Stony Brook NY 11790-1999. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cottone, John Gregory can be contacted via phone (631) 941-2211.

Contact Information

Primary practice address
1099 North Country Rd Suite L Stony Brook NY 11790-1999
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 017050-1 New York

Profile Details

NPI number 1396887733
LBN Legal business name Cottone, John Gregory
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Jan 26th, 2012 - about 12 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 1396887733 NPPES
New York MEDICAID 02857523

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