Anthony, Tyrone

Anthony, Tyrone is an sole proprietor health care provider with primary practice located at 110 Evans Ave , Freeport NY 11520-1435. 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. Anthony, Tyrone can be contacted via phone (516) 546-4960.

Contact Information

Primary practice address
110 Evans Ave Freeport NY 11520-1435
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2498 New York

Profile Details

NPI number 1710105945
LBN Legal business name Anthony, Tyrone
Credentials CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Jul 8th, 2007 - about 19 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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