Gannon, Karen Marie
Gannon, Karen Marie is an individual health care provider with primary practice located at 15 Mount Ebo Rd S , Brewster NY 10509-4004. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gannon, Karen Marie can be contacted via phone (845) 878-9078.Contact Information
Primary practice address
15 Mount Ebo Rd S
Brewster NY 10509-4004
Phone: (845) 878-9078
Fax: (845) 278-6984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 1937289 | New York |
Profile Details
| NPI number | 1346493434 |
|---|---|
| LBN Legal business name | Gannon, Karen Marie |
| Credentials | CSP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2008 |
| Last updated | Nov 3rd, 2008 - about 16 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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