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
Phone: (631) 772-8547
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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