Brajuha, Mario

Brajuha, Mario is an individual health care provider with primary practice located at 2233 Nesconset Hwy , Lake Grove NY 11755-1000. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brajuha, Mario can be contacted via phone (631) 737-5559.

Contact Information

Primary practice address
2233 Nesconset Hwy Lake Grove NY 11755-1000
Phone: (631) 737-5559
Fax: (631) 737-0001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 081296-1 New York

Profile Details

NPI number 1255574141
LBN Legal business name Brajuha, Mario
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2009
Last updated Sep 4th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255574141 NPPES
New York Other 1528223401 GROUP NPI

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