Edwards, Kenneth
Edwards, Kenneth is an sole proprietor health care provider with primary practice located at 500 Montauk Hwy Ste M , West Islip NY 11795-4419. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Edwards, Kenneth can be contacted via phone (631) 766-6014.Contact Information
Primary practice address
500 Montauk Hwy Ste M
West Islip NY 11795-4419
Phone: (631) 766-6014
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | RO36605-01 | New York |
Profile Details
| NPI number | 1982796793 |
|---|---|
| LBN Legal business name | Edwards, Kenneth |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2006 |
| 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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