Landry, Patricia Katherine
Landry, Patricia Katherine is an sole proprietor health care provider with primary practice located at 666 Hawkins Rd E , Coram NY 11727-1810. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Landry, Patricia Katherine can be contacted via phone (631) 451-3745.Contact Information
Primary practice address
666 Hawkins Rd E
Coram NY 11727-1810
Phone: (631) 451-3745
Fax: (631) 451-3745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | PR013540-1 | New York |
Profile Details
| NPI number | 1689684011 |
|---|---|
| LBN Legal business name | Landry, Patricia Katherine |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689684011 | NPPES |
| New York | Other | 0062232 | GHI |
| New York | MEDICAID | 02371268 | GHI |
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