Pendergrast Grayden, Pamela

Pendergrast Grayden, Pamela is an sole proprietor health care provider with primary practice located at 256 Medea Way , Central Islip NY 11722-4540. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Pendergrast Grayden, Pamela can be contacted via phone (631) 415-4406.

Contact Information

Primary practice address
256 Medea Way Central Islip NY 11722-4540
Phone: (631) 415-4406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 075084-1 New York

Profile Details

NPI number 1033344676
LBN Legal business name Pendergrast Grayden, Pamela
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2009
Last updated Jun 11th, 2009 - about 17 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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