Gaston, Tyreek

Gaston, Tyreek is an sole proprietor health care provider with primary practice located at 273 Heberton Ave , Staten Island NY 10302-1809. He recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as his primary health care specialty. Gaston, Tyreek can be contacted via phone (718) 412-3170.

Contact Information

Primary practice address
273 Heberton Ave Staten Island NY 10302-1809
Phone: (718) 412-3170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1083117089
LBN Legal business name Gaston, Tyreek
Credentials COUNSELOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2018
Last updated Mar 15th, 2018 - 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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