Brignola, Ellen A.

Brignola, Ellen A. is an individual health care provider with primary practice located at 1 Tallow Wood Dr , Clifton Park NY 12065-2807. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Brignola, Ellen A. can be contacted via phone (518) 373-4444.

Contact Information

Primary practice address
1 Tallow Wood Dr Clifton Park NY 12065-2807
Phone: (518) 373-4444
Fax: (518) 373-0663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 336354 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F336354 New York

Profile Details

NPI number 1659689834
LBN Legal business name Brignola, Ellen A.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2010
Last updated Oct 31st, 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 1659689834 NPPES
New York MEDICAID 03263650
New York Other 644141
New York Other 3014370
New York Other 307090
New York Other 101209000118

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