Johnson, Sandy J

Johnson, Sandy J is an sole proprietor health care provider with primary practice located at 55 Nesconset Hwy , Port Jefferson Station NY 11776-2631. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Johnson, Sandy J can be contacted via phone (631) 871-8454.

Contact Information

Primary practice address
55 Nesconset Hwy Port Jefferson Station NY 11776-2631
Phone: (631) 871-8454
Fax: (631) 689-3774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 000029 New York

Profile Details

NPI number 1053476713
LBN Legal business name Johnson, Sandy J
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 23rd, 2006
Last updated Jun 3rd, 2008 - about 16 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 1053476713 NPPES
New York Other 1072830 AFFINITY HEALTH PLAN
New York Other 11563006 AFFINITY HEALTH PLAN

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