Sorensen, Gussie M
Sorensen, Gussie M is an individual health care provider with primary practice located at 5008 Brittonfield Pkwy Suite 700, East Syracuse NY 13057. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sorensen, Gussie M can be contacted via phone (315) 472-7504.Contact Information
Primary practice address
5008 Brittonfield Pkwy Suite 700
East Syracuse NY 13057
Phone: (315) 472-7504
Fax: (315) 479-8639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 050729-1 | New York |
Profile Details
| NPI number | 1295714681 |
|---|---|
| LBN Legal business name | Sorensen, Gussie M |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Aug 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295714681 | NPPES |
| New York | MEDICAID | 02462619 |
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