Purcell, Kelsey

Purcell, Kelsey is an individual health care provider with primary practice located at 2976 Northern Blvd , Long Island City NY 11101-2822. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Purcell, Kelsey can be contacted via phone (347) 510-3409.

Contact Information

Primary practice address
2976 Northern Blvd Long Island City NY 11101-2822
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 100782 New York

Profile Details

NPI number 1083113807
LBN Legal business name Purcell, Kelsey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2018
Last updated Jun 16th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083113807 NPPES
New York MEDICAID 02740141

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