Smith, Edward D
Smith, Edward D is an sole proprietor health care provider with primary practice located at 115 N Huron St , Ronkonkoma NY 11779-3531. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, Edward D can be contacted via phone (631) 626-7418.Contact Information
Primary practice address
115 N Huron St
Ronkonkoma NY 11779-3531
Phone: (631) 626-7418
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 054262 | New York |
Profile Details
| NPI number | 1073910147 |
|---|---|
| LBN Legal business name | Smith, Edward D |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2014 |
| Last updated | Dec 4th, 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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