Geronimo, Thomas

Geronimo, Thomas is an individual health care provider with primary practice located at 40 Magellan Ave , Kings Park NY 11754-3803. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Geronimo, Thomas can be contacted via phone (516) 991-6297.

Contact Information

Primary practice address
40 Magellan Ave Kings Park NY 11754-3803
Phone: (516) 991-6297
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1538477229
LBN Legal business name Geronimo, Thomas
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2010
Last updated Jun 14th, 2023 - about 3 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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