Medina, Quelsy

Medina, Quelsy is an individual health care provider with primary practice located at 1737 Veterans Memorial Hwy , Islandia NY 11749-1529. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Medina, Quelsy can be contacted via phone (631) 479-2900.

Contact Information

Primary practice address
1737 Veterans Memorial Hwy Islandia NY 11749-1529
Phone: (631) 479-2900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1104465301
LBN Legal business name Medina, Quelsy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2020
Last updated Jan 6th, 2020 - about 6 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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