Gudmundsen, Dawn Crystal

Gudmundsen, Dawn Crystal is an sole proprietor health care provider with primary practice located at 229 Laurel Rd , East Northport NY 11731-1118. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Gudmundsen, Dawn Crystal can be contacted via phone (484) 965-9966.

Contact Information

Primary practice address
229 Laurel Rd East Northport NY 11731-1118
Phone: (484) 965-9966
Fax: (484) 231-8631
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 703164131 New York
Agencies / Community/Behavioral Health 251S00000X 504297111 New York
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 001033 New York

Profile Details

NPI number 1053744532
LBN Legal business name Gudmundsen, Dawn Crystal
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2013
Last updated Aug 30th, 2021 - about 5 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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