Donaldson, Larry Thomas

Donaldson, Larry Thomas is an sole proprietor health care provider with primary practice located at 129 Ridgewood Ave , Farmingville NY 11738-1618. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Donaldson, Larry Thomas can be contacted via phone (631) 772-8547.

Contact Information

Primary practice address
129 Ridgewood Ave Farmingville NY 11738-1618
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 18414 New York

Profile Details

NPI number 1417243353
LBN Legal business name Donaldson, Larry Thomas
Credentials CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2011
Last updated Jun 20th, 2011 - about 15 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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