Goudreau, Adam

Goudreau, Adam is an sole proprietor health care provider with primary practice located at 85 Philadelphia Ave , Massapequa Park NY 11762-2547. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Goudreau, Adam can be contacted via phone (516) 626-1000.

Contact Information

Primary practice address
85 Philadelphia Ave Massapequa Park NY 11762-2547
Phone: (516) 626-1000
Fax: (516) 626-2039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1790067726
LBN Legal business name Goudreau, Adam
Credentials B.A., M.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2011
Last updated Sep 15th, 2011 - about 15 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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