Gaines, Andrea Michelle

Gaines, Andrea Michelle is an sole proprietor health care provider with primary practice located at 11 Laurel Trl , Sag Harbor NY 11963-2409. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gaines, Andrea Michelle can be contacted via phone (631) 899-3692.

Contact Information

Primary practice address
11 Laurel Trl Sag Harbor NY 11963-2409
Phone: (631) 899-3692
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1275888562
LBN Legal business name Gaines, Andrea Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2012
Last updated Jul 23rd, 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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