Sullivan, Agnes
Sullivan, Agnes is an sole proprietor health care provider with primary practice located at 8546 115Th St , Richmond Hill NY 11418-1732. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sullivan, Agnes can be contacted via phone (858) 342-5753.Contact Information
Primary practice address
8546 115Th St
Richmond Hill NY 11418-1732
Phone: (858) 342-5753
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 076573 | New York |
Profile Details
| NPI number | 1467188052 |
|---|---|
| LBN Legal business name | Sullivan, Agnes |
| Credentials | LCSW, MSC, BSC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2022 |
| Last updated | Jul 27th, 2022 - about 3 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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