Gangji, Katrina Rose

Gangji, Katrina Rose is an sole proprietor health care provider with primary practice located at 32 Colony Rd , Port Jefferson Station NY 11776-4230. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Gangji, Katrina Rose can be contacted via phone (631) 891-8334.

Contact Information

Primary practice address
32 Colony Rd Port Jefferson Station NY 11776-4230
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1093457202
LBN Legal business name Gangji, Katrina Rose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2022
Last updated Apr 8th, 2022 - about 2 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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