Garrett, Kimberly Natasha

Garrett, Kimberly Natasha is an individual health care provider with primary practice located at 10819 Rockaway Blvd , South Ozone Park NY 11420-1034. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Garrett, Kimberly Natasha can be contacted via phone (718) 845-2620.

Contact Information

Primary practice address
10819 Rockaway Blvd South Ozone Park NY 11420-1034
Phone: (718) 845-2620
Fax: (718) 845-9380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 080380 New York

Profile Details

NPI number 1689810640
LBN Legal business name Garrett, Kimberly Natasha
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2008
Last updated Sep 17th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689810640 NPPES
New York MEDICAID 00076731

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