Ciaravino, Laura

Ciaravino, Laura is an individual health care provider with primary practice located at 650 E Main St , Bay Shore NY 11706-8503. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ciaravino, Laura can be contacted via phone (631) 665-6363.

Contact Information

Primary practice address
650 E Main St Bay Shore NY 11706-8503
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F343731-1 New York

Profile Details

NPI number 1992261531
LBN Legal business name Ciaravino, Laura
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2019
Last updated Feb 19th, 2019 - about 7 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 1992261531 NPPES
New York MEDICAID F343731-1

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