Emerson, Mary

Emerson, Mary is an sole proprietor health care provider with primary practice located at 155 Norwood Ave , Port Jefferson Station NY 11776-2553. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Emerson, Mary can be contacted via phone (631) 334-6012.

Contact Information

Primary practice address
155 Norwood Ave Port Jefferson Station NY 11776-2553
Phone: (631) 334-6012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 00455535 New York

Profile Details

NPI number 1225226681
LBN Legal business name Emerson, Mary
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2007
Last updated Oct 11th, 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 1225226681 NPPES
New York MEDICAID 01539922

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