Devine, Elizabeth

Devine, Elizabeth is an sole proprietor health care provider with primary practice located at 261 Grand Central Ave , Amityville NY 11701-3708. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Devine, Elizabeth can be contacted via phone (631) 559-7587.

Contact Information

Primary practice address
261 Grand Central Ave Amityville NY 11701-3708
Phone: (631) 559-7587
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 261029-1 New York

Profile Details

NPI number 1356858435
LBN Legal business name Devine, Elizabeth
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2018
Last updated Jan 10th, 2018 - about 8 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 1356858435 NPPES
New York MEDICAID FZ76667Y

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