OrganizationActive
Sole Proprietor
NPI 1891187852 · Community/Behavioral Health Agency · Williston Park, NY
Sole Proprietor is a Community/Behavioral Health Agency organization in Williston Park, NY (NPI 1891187852).
Provider details
- NPI number
- 1891187852
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Brendan Canavan, Abss(516) 770-2383
- License
- 437022101 (NY)
Specialties & taxonomies
Agencies
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
610 Willis Ave Apt 1f
Williston Park, NY 11596-1221
Phone: (516) 770-2383
Street-level locationGet directions
Mailing address
610 Willis Ave Apt 1f
Williston Park, NY 11596-1221
Registry dates
- Enumerated
- 2015-02-28
- Last updated
- 2015-02-28
Frequently asked questions
- What is Sole Proprietor's NPI number?
- Sole Proprietor's National Provider Identifier (NPI) is 1891187852, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sole Proprietor?
- Sole Proprietor is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Sole Proprietor located?
- Sole Proprietor's practice location on file with NPPES is 610 Willis Ave Apt 1f, Williston Park, NY 11596-1221.
- What is Sole Proprietor's phone number?
- The practice phone number listed in the NPPES registry for Sole Proprietor is (516) 770-2383.
- Who is the authorized official for Sole Proprietor?
- The authorized official listed on Sole Proprietor's NPPES record is Brendan Canavan, Abss. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sole Proprietor's NPI active?
- Yes — Sole Proprietor's NPI (1891187852) is active in the NPPES registry as of the last update on 2015-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.