Gallegos Greenwich, Autumn Marie

Gallegos Greenwich, Autumn Marie is an individual health care provider with primary practice located at 400 Fort Hill Ave , Canandaigua NY 14424-1159. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gallegos Greenwich, Autumn Marie can be contacted via phone (585) 275-6671.

Contact Information

Primary practice address
400 Fort Hill Ave Canandaigua NY 14424-1159
Fax: (585) 273-1082
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 19439 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 019439 New York

Profile Details

NPI number 1376891754
LBN Legal business name Gallegos Greenwich, Autumn Marie
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2012
Last updated Jul 6th, 2023 - about last year

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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