Ganun, Kathleen

Ganun, Kathleen is an sole proprietor health care provider with primary practice located at 77 Union Ave , Center Moriches NY 11934-3213. She recently has only one registered license in Nursing Service Providers / Administrator, which is considered as her primary health care specialty. Ganun, Kathleen can be contacted via phone (631) 878-0795.

Contact Information

Primary practice address
77 Union Ave Center Moriches NY 11934-3213
Fax: (631) 878-0527
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Administrator 163WA2000X 26-2682906 New York

Profile Details

NPI number 1710121819
LBN Legal business name Ganun, Kathleen
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2009
Last updated Apr 21st, 2009 - about 17 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 1710121819 NPPES
New York Other 1181623 REGISTERED NURSE

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