Kelly, Josephine Marie
Kelly, Josephine Marie is an individual health care provider with primary practice located at 452 Suffolk Ave , Brentwood NY 11717-4207. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Kelly, Josephine Marie can be contacted via phone (631) 436-6065.Contact Information
Primary practice address
452 Suffolk Ave
Brentwood NY 11717-4207
Phone: (631) 436-6065
Fax: (631) 436-6068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 00004502 | New York |
Profile Details
| NPI number | 1619124070 |
|---|---|
| LBN Legal business name | Kelly, Josephine Marie |
| Credentials | CASAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2008 |
| Last updated | Aug 27th, 2008 - about 17 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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