Kingsley, Gary John
Kingsley, Gary John is an sole proprietor health care provider with primary practice located at 646 Main St , Port Jefferson NY 11777-2235. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Kingsley, Gary John can be contacted via phone (631) 473-5404.Contact Information
Primary practice address
646 Main St
Port Jefferson NY 11777-2235
Phone: (631) 473-5404
Fax: (631) 473-5404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 09551-1 | New York |
Profile Details
| NPI number | 1942367511 |
|---|---|
| LBN Legal business name | Kingsley, Gary John |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 8th, 2007 - 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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