Kristiansen, Rebecca Lynn

Kristiansen, Rebecca Lynn is an sole proprietor health care provider with primary practice located at 87 Church Ave , Islip NY 11751-4301. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Kristiansen, Rebecca Lynn can be contacted via phone (631) 835-1675.

Contact Information

Primary practice address
87 Church Ave Islip NY 11751-4301
Phone: (631) 835-1675
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 075954 New York

Profile Details

NPI number 1164706594
LBN Legal business name Kristiansen, Rebecca Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2011
Last updated Oct 4th, 2011 - about 13 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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