Sole Proprietor
Sole Proprietor is a Community/Behavioral Health Agency in Williston Park, New York. Licensed in New York. Registered with an NPI since 2015.
- Licensed in
- NY
- In the registry since
- 2015
Practice location Address checks out
610 Willis Ave Apt 1FWilliston Park, NY 11596-1221
Phone: (516) 770-2383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 437022101 (NY) |
|---|
Record details
| NPI number | 1891187852 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brendan Canavan — Abss · (516) 770-2383 |
| NPI enumerated | February 28, 2015 |
| Last updated in NPPES | February 28, 2015 |
| Mailing address | 610 Willis Ave Apt 1f, Williston Park, NY 11596-1221 |
Other providers in Williston Park
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Clear View Marriage and Family Therapy, PLLC
101 Hillside Ave Ste D, Williston Park, NY 11596-2310 · (347) 829-4021