Ekstrand, Ralph

Ekstrand, Ralph is an sole proprietor health care provider with primary practice located at 2 Tomes Ave , Farmingdale NY 11735-5230. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ekstrand, Ralph can be contacted via phone (516) 249-7686.

Contact Information

Primary practice address
2 Tomes Ave Farmingdale NY 11735-5230
Phone: (516) 249-7686
Fax: (516) 249-2036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 031622 New York

Profile Details

NPI number 1487841854
LBN Legal business name Ekstrand, Ralph
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2007
Last updated Oct 1st, 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 1487841854 NPPES
New York MEDICAID 01551959

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