Faulkner, Eboni Nicole

Faulkner, Eboni Nicole is an individual health care provider with primary practice located at 19 Olivia St , Port Chester NY 10573-4877. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Faulkner, Eboni Nicole can be contacted via phone (914) 479-9501.

Contact Information

Primary practice address
19 Olivia St Port Chester NY 10573-4877
Phone: (914) 479-9501
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 014494 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1124653449
LBN Legal business name Faulkner, Eboni Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2020
Last updated Aug 25th, 2024 - about 2 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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