Cisco, Gray J
Cisco, Gray J is an sole proprietor health care provider with primary practice located at 40 E Sidney Ave Apt 10A , Mount Vernon NY 10550-1417. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Cisco, Gray J can be contacted via phone (718) 313-8848.Contact Information
Primary practice address
40 E Sidney Ave Apt 10A
Mount Vernon NY 10550-1417
Phone: (718) 313-8848
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | New York |
Profile Details
| NPI number | 1205191434 |
|---|---|
| LBN Legal business name | Cisco, Gray J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2012 |
| Last updated | Jul 13th, 2012 - about 14 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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