Quilty, Robert

Quilty, Robert is an sole proprietor health care provider with primary practice located at 139 Main St , Stony Brook NY 11790-1911. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Quilty, Robert can be contacted via phone (631) 751-4873.

Contact Information

Primary practice address
139 Main St Stony Brook NY 11790-1911
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 010801 New York

Profile Details

NPI number 1184608655
LBN Legal business name Quilty, Robert
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2005
Last updated Nov 3rd, 2014 - about 11 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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