Gomez, Doris
Gomez, Doris is an sole proprietor health care provider with primary practice located at 530 Old Country Rd , Westbury NY 11590-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gomez, Doris can be contacted via phone (516) 333-9833.Contact Information
Primary practice address
530 Old Country Rd
Westbury NY 11590-4500
Phone: (516) 333-9833
Fax: (516) 333-9836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 302715 | New York |
Profile Details
| NPI number | 1699862151 |
|---|---|
| LBN Legal business name | Gomez, Doris |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699862151 | NPPES |
| New York | MEDICAID | 02742836 |
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