Kiessling, Gwen Rae
Kiessling, Gwen Rae is an sole proprietor health care provider with primary practice located at 4823 42Nd St Apt 7K , Sunnyside NY 11104-3163. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kiessling, Gwen Rae can be contacted via phone (347) 228-9026.Contact Information
Primary practice address
4823 42Nd St Apt 7K
Sunnyside NY 11104-3163
Phone: (347) 228-9026
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 071464-1 | New York |
Profile Details
| NPI number | 1396016184 |
|---|---|
| LBN Legal business name | Kiessling, Gwen Rae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2012 |
| Last updated | Jan 25th, 2012 - about 12 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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