Provenzano, Catherine
Provenzano, Catherine is an sole proprietor health care provider with primary practice located at 1050 Hallock Ave , Port Jefferson Station NY 11776-1214. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Provenzano, Catherine can be contacted via phone (631) 487-5162.Contact Information
Primary practice address
1050 Hallock Ave
Port Jefferson Station NY 11776-1214
Phone: (631) 487-5162
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 081438 | New York |
Profile Details
| NPI number | 1508269838 |
|---|---|
| LBN Legal business name | Provenzano, Catherine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2014 |
| Last updated | Oct 1st, 2014 - about 12 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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