Redmond, Edward P

Redmond, Edward P is an individual health care provider with primary practice located at 303 Timber Point Rd , East Islip NY 11730-3320. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Redmond, Edward P can be contacted via phone (631) 581-0267.

Contact Information

Primary practice address
303 Timber Point Rd East Islip NY 11730-3320
Fax: (631) 581-0267
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R0184841 New York

Profile Details

NPI number 1942379763
LBN Legal business name Redmond, Edward P
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1942379763 NPPES
Other 7401620 VALUE OPTIONS
Other 7401620 VALUE OPTIONS
Other 067005 VALUE OPTIONS

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