Bresky, Mindy R
Bresky, Mindy R is an sole proprietor health care provider with primary practice located at 47 Woodmont Rd , Melville NY 11747-3321. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bresky, Mindy R can be contacted via phone (631) 254-3645.Contact Information
Primary practice address
47 Woodmont Rd
Melville NY 11747-3321
Phone: (631) 254-3645
Fax: (631) 254-3645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R030188-1 | New York |
Profile Details
| NPI number | 1700088101 |
|---|---|
| LBN Legal business name | Bresky, Mindy R |
| Credentials | LACSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700088101 | NPPES |
| New York | Other | R030188-1 | LICENSE |
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