Kingsley, Gary John
Kingsley, Gary John is an sole proprietor health care provider with primary practice located at 646 Main St , Port Jefferson NY 11777-2235. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Kingsley, Gary John can be contacted via phone (631) 473-5404.Contact Information
Primary practice address
646 Main St
Port Jefferson NY 11777-2235
Phone: (631) 473-5404
Fax: (631) 473-5404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 09551-1 | New York |
Profile Details
| NPI number | 1942367511 |
|---|---|
| LBN Legal business name | Kingsley, Gary John |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Popular Providers
-
Taxman Goldfarb, Lisa
118 Spring St , Port Jefferson NY 11777-1817 -
Flynn-Campbell, Jennifer A
112 Glenwood Ln , Port Jefferson NY 11777-1505 -
Mckenna, Theresa Ann
200 Belle Terre Rd , Port Jefferson NY 11777-1928 -
Filingeri, Vincent Salvatore
5225-46 Route 347 , Port Jefferson Station NY 11776 -
Dreyer, Alice Samantha
1050 Hallock Ave Ste 2 , Port Jefferson Station NY 11776-1214 -
Kostakos, Emanuel
460 Old Town Rd Apt 8J , Port Jefferson Station NY 11776-2216 -
Marrin, William
200 Belle Terre Rd , Port Jefferson NY 11777-1928 -
Schomber, Jacqueline
1500 Route 112 Bldg 6, Port Jefferson Station NY 11776-8054