Sole Proprietor

LBN: Sole Proprietor
Sole Proprietor is an health care organization with primary practice located at 610 Willis Ave Apt 1F , Williston Park NY 11596-1221. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Sole Proprietor can be contacted via phone (516) 770-2383, or through Canavan, Brendan Michael via phone (516) 770-2383.

Contact Information

Primary practice address
610 Willis Ave Apt 1F Williston Park NY 11596-1221
Phone: (516) 770-2383
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Canavan, Brendan Michael Master of Arts (MA)
Phone: (516) 770-2383

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 437022101 New York

Profile Details

NPI number 1891187852
LBN Legal business name Sole Proprietor
DBA Doing business as
Authorized official Canavan, Brendan Michael Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2015
Last updated Feb 28th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers