Daniels, Brooke
Daniels, Brooke is an individual health care provider with primary practice located at 1461 Lakeland Ave Unit 12 , Bohemia NY 11716-2174. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Daniels, Brooke can be contacted via phone (631) 732-4794.Contact Information
Primary practice address
1461 Lakeland Ave Unit 12
Bohemia NY 11716-2174
Phone: (631) 732-4794
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 092211 | New York |
Profile Details
| NPI number | 1568840049 |
|---|---|
| LBN Legal business name | Daniels, Brooke |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2015 |
| Last updated | May 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568840049 | NPPES |
| New York | MEDICAID | 02173802 |
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