Bavaro, Vincent Dominic

Bavaro, Vincent Dominic is an individual health care provider with primary practice located at 5928 Little Neck Pkwy 1St Floor, Little Neck NY 11362-2532. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Bavaro, Vincent Dominic can be contacted via phone (718) 225-0566.

Contact Information

Primary practice address
5928 Little Neck Pkwy 1St Floor Little Neck NY 11362-2532
Phone: (718) 225-0566
Fax: (718) 224-7544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 6450831 New York

Profile Details

NPI number 1609311190
LBN Legal business name Bavaro, Vincent Dominic
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2016
Last updated Dec 29th, 2016 - about 10 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 1609311190 NPPES
New York MEDICAID 6450831

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