Gleason, Aaron

Gleason, Aaron is an sole proprietor health care provider with primary practice located at 6836 E Genesee St , Fayetteville NY 13066-1024. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gleason, Aaron can be contacted via phone (315) 464-3191.

Contact Information

Primary practice address
6836 E Genesee St Fayetteville NY 13066-1024
Phone: (315) 464-3191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 016774-1 New York
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 016774-1 New York

Profile Details

NPI number 1013013184
LBN Legal business name Gleason, Aaron
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013013184 NPPES
New York MEDICAID 02782387

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