Stacks, Keyonia S

Stacks, Keyonia S is an individual health care provider with primary practice located at 184 Eldridge St , New York NY 10002-2924. She recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as her primary health care specialty. Stacks, Keyonia S can be contacted via phone (212) 453-4522.

Contact Information

Primary practice address
184 Eldridge St New York NY 10002-2924
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 29698163 Pennsylvania

Profile Details

NPI number 1679134944
LBN Legal business name Stacks, Keyonia S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2019
Last updated Jun 26th, 2019 - about 5 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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