Grayton, Terry

Grayton, Terry is an individual health care provider with primary practice located at 460 Brielle Ave , Staten Island NY 10314-6427. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Grayton, Terry can be contacted via phone (718) 816-6589.

Contact Information

Primary practice address
460 Brielle Ave Staten Island NY 10314-6427
Phone: (718) 816-6589
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 26767 New York

Profile Details

NPI number 1346784691
LBN Legal business name Grayton, Terry
Credentials CASAC 26767
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2016
Last updated Dec 6th, 2016 - about 10 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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