Bryant Tuckett, Rose

Bryant Tuckett, Rose is an individual health care provider with primary practice located at 23 Old Snake Hill Road , Pound Ridge NY 10576-2101. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bryant Tuckett, Rose can be contacted via phone (914) 764-4413.

Contact Information

Primary practice address
23 Old Snake Hill Road Pound Ridge NY 10576-2101
Phone: (914) 764-4413
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 006900 New York

Profile Details

NPI number 1205981206
LBN Legal business name Bryant Tuckett, Rose
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205981206 NPPES
New York Other 7341131 GHI INS CO
New York MEDICAID 01727471 GHI INS CO
New York Other 147312 GHI INS CO

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