Goodwin, Kerry Marie

Goodwin, Kerry Marie is an individual health care provider with primary practice located at 55 Carleton Ave , East Islip NY 11730-2133. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Goodwin, Kerry Marie can be contacted via phone (631) 579-3503.

Contact Information

Primary practice address
55 Carleton Ave East Islip NY 11730-2133
Phone: (631) 579-3503
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1346785698
LBN Legal business name Goodwin, Kerry Marie
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2016
Last updated Jul 30th, 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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