Gildea, Kelly
Gildea, Kelly is an sole proprietor health care provider with primary practice located at 320 Carleton Ave , Central Islip NY 11722-4506. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gildea, Kelly can be contacted via phone (631) 617-5300.Contact Information
Primary practice address
320 Carleton Ave
Central Islip NY 11722-4506
Phone: (631) 617-5300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 089884-1 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 093579-01 | New York |
Profile Details
| NPI number | 1528496445 |
|---|---|
| LBN Legal business name | Gildea, Kelly |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2013 |
| Last updated | Jul 13th, 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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