Kavanagh, Ann Marie Joan

Kavanagh, Ann Marie Joan is an sole proprietor health care provider with primary practice located at 998 Crooked Hill Rd , Brentwood NY 11717-1019. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kavanagh, Ann Marie Joan can be contacted via phone (631) 761-3728.

Contact Information

Primary practice address
998 Crooked Hill Rd Brentwood NY 11717-1019
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 022588 New York

Profile Details

NPI number 1851881700
LBN Legal business name Kavanagh, Ann Marie Joan
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2018
Last updated May 16th, 2018 - about 8 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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