Wilson, Bruce Leslie

Wilson, Bruce Leslie is an sole proprietor health care provider with primary practice located at 153 E Main St Suite E, Mount Kisco NY 10549-2317. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wilson, Bruce Leslie can be contacted via phone (914) 666-0060.

Contact Information

Primary practice address
153 E Main St Suite E Mount Kisco NY 10549-2317
Phone: (914) 666-0060
Fax: (914) 666-9662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 0096961 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 009606 New York

Profile Details

NPI number 1548313281
LBN Legal business name Wilson, Bruce Leslie
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Feb 26th, 2019 - about 7 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 1548313281 NPPES
New York Other 6152362 UNITED BEHAVIORAL HEALTH
New York Other S096065 UNITED BEHAVIORAL HEALTH
New York Other 113511 UNITED BEHAVIORAL HEALTH
New York Other 0078820 UNITED BEHAVIORAL HEALTH
New York Other WS1191 UNITED BEHAVIORAL HEALTH

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