Desir, Nyrline

Desir, Nyrline is an individual health care provider with primary practice located at 1055 Stewart Avenue , Bethpage NY 11714-3596. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Desir, Nyrline can be contacted via phone (516) 938-0100.

Contact Information

Primary practice address
1055 Stewart Avenue Bethpage NY 11714-3596
Phone: (516) 938-0100
Fax: (516) 938-0120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71002738A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F343594 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2005002258 Tennessee

Profile Details

NPI number 1851482400
LBN Legal business name Desir, Nyrline
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Mar 19th, 2021 - about 5 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 1851482400 NPPES
Indiana MEDICAID 200947950
Indiana Other P01170018
Indiana MEDICAID 34460326

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