Broza, Michaline Mary

Broza, Michaline Mary is an individual health care provider with primary practice located at 16 Jerry Lane , Glen Cove NY 11542. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Broza, Michaline Mary can be contacted via phone (516) 671-5168.

Contact Information

Primary practice address
16 Jerry Lane Glen Cove NY 11542
Phone: (516) 671-5168
Fax: (516) 671-5168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1608701 New York

Profile Details

NPI number 1558554550
LBN Legal business name Broza, Michaline Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2007
Last updated Aug 22nd, 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 1558554550 NPPES
New York MEDICAID 02058395

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