Garry, Staciann

Garry, Staciann is an sole proprietor health care provider with primary practice located at 23 Morton St , Port Jefferson Station NY 11776-4012. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Garry, Staciann can be contacted via phone (631) 291-7913.

Contact Information

Primary practice address
23 Morton St Port Jefferson Station NY 11776-4012
Phone: (631) 291-7913
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 007163-01 New York

Profile Details

NPI number 1629796578
LBN Legal business name Garry, Staciann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2022
Last updated Aug 17th, 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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