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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053476713 | NPPES |
| New York | Other | 1072830 | AFFINITY HEALTH PLAN |
| New York | Other | 11563006 | AFFINITY HEALTH PLAN |
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