Graham, Deloris

Graham, Deloris is an sole proprietor health care provider with primary practice located at 221 Siegel St , Westbury NY 11590-3622. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Graham, Deloris can be contacted via phone (516) 698-9757.

Contact Information

Primary practice address
221 Siegel St Westbury NY 11590-3622
Phone: (516) 698-9757
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 129075-1 New York

Profile Details

NPI number 1043340383
LBN Legal business name Graham, Deloris
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Jul 9th, 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 1043340383 NPPES
New York MEDICAID 01674597

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