Goudreau, Adam
Goudreau, Adam is an sole proprietor health care provider with primary practice located at 85 Philadelphia Ave , Massapequa Park NY 11762-2547. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Goudreau, Adam can be contacted via phone (516) 626-1000.Contact Information
Primary practice address
85 Philadelphia Ave
Massapequa Park NY 11762-2547
Phone: (516) 626-1000
Fax: (516) 626-2039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X |
Profile Details
| NPI number | 1790067726 |
|---|---|
| LBN Legal business name | Goudreau, Adam |
| Credentials | B.A., M.A. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2011 |
| Last updated | Sep 15th, 2011 - about 14 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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