Reynolds Gilmore, Mary K

Reynolds Gilmore, Mary K is an sole proprietor health care provider with primary practice located at 19 Clipper Dr , Northport NY 11768-1549. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Reynolds Gilmore, Mary K can be contacted via phone (631) 239-6274.

Contact Information

Primary practice address
19 Clipper Dr Northport NY 11768-1549
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 009253 New York

Profile Details

NPI number 1760980403
LBN Legal business name Reynolds Gilmore, Mary K
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2018
Last updated Jan 29th, 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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