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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOLE PROPRIETOR

Active Organization

SOLE PROPRIETOR is a Community/Behavioral Health organization located in WILLISTON PARK, New York. NPI 1891187852 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · WILLISTON PARK, NY

Registration Details

NPI Number
1891187852
Provider Type
Organization
NPI Issued
Feb 28, 2015 (11.502427438851 yrs)
Last Updated
Feb 28, 2015
License
437022101 (NY)

Practice Information

Address
610 WILLIS AVE APT 1F
WILLISTON PARK, NY, 115961221
Browse NY providers · Browse ZIP 11596
Phone
5167702383
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Organizations in WILLISTON PARK, NY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.