Witherspoon, Jeffrey

Witherspoon, Jeffrey is an sole proprietor health care provider with primary practice located at 98 Division Ave , Massapequa NY 11758-7101. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Witherspoon, Jeffrey can be contacted via phone (516) 398-7298.

Contact Information

Primary practice address
98 Division Ave Massapequa NY 11758-7101
Phone: (516) 398-7298
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6560 New York

Profile Details

NPI number 1053706739
LBN Legal business name Witherspoon, Jeffrey
Credentials CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2015
Last updated Mar 31st, 2015 - about 9 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.

Request for update

Popular Providers