Gerace, Charles P

Gerace, Charles P is an sole proprietor health care provider with primary practice located at 1050 Hallock Ave Suite 2, Port Jefferson Station NY 11776-1214. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gerace, Charles P can be contacted via phone (631) 930-6200.

Contact Information

Primary practice address
1050 Hallock Ave Suite 2 Port Jefferson Station NY 11776-1214
Phone: (631) 930-6200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 073130-1 New York

Profile Details

NPI number 1821121146
LBN Legal business name Gerace, Charles P
Credentials L-CSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers