Bond, Katherine Ariel

Bond, Katherine Ariel is an individual health care provider with primary practice located at 460 Old Town Rd Apt 5A, Port Jefferson Station NY 11776-2200. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Bond, Katherine Ariel can be contacted via phone (631) 456-1774.

Contact Information

Primary practice address
460 Old Town Rd Apt 5A Port Jefferson Station NY 11776-2200
Phone: (631) 456-1774
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 284703 New York

Profile Details

NPI number 1457497638
LBN Legal business name Bond, Katherine Ariel
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 9th, 2007 - about 19 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 1457497638 NPPES
New York MEDICAID 02769551

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