Carlson, Yrena

Carlson, Yrena is an sole proprietor health care provider with primary practice located at 39 Smith Ave , Bay Shore NY 11706-7357. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Carlson, Yrena can be contacted via phone (631) 968-6091.

Contact Information

Primary practice address
39 Smith Ave Bay Shore NY 11706-7357
Phone: (631) 968-6091
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 2542631 New York

Profile Details

NPI number 1912068156
LBN Legal business name Carlson, Yrena
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
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 1912068156 NPPES
New York MEDICAID 02680197

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