Gonsor, Keith Robert
Gonsor, Keith Robert is an sole proprietor health care provider with primary practice located at 627 Broadway Suite 200, Massapequa NY 11758-5031. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gonsor, Keith Robert can be contacted via phone (516) 799-6001.Contact Information
Primary practice address
627 Broadway Suite 200
Massapequa NY 11758-5031
Phone: (516) 799-6001
Fax: (516) 799-4464
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 010346 | New York |
Profile Details
| NPI number | 1497822787 |
|---|---|
| LBN Legal business name | Gonsor, Keith Robert |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jul 9th, 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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