Hagenberger, Maria S

Hagenberger, Maria S is an sole proprietor health care provider with primary practice located at 107 Northwood Blvd , Central Islip NY 11722-4668. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Hagenberger, Maria S can be contacted via phone (631) 272-5250.

Contact Information

Primary practice address
107 Northwood Blvd Central Islip NY 11722-4668
Phone: (631) 272-5250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 111380-1 New York

Profile Details

NPI number 1790976843
LBN Legal business name Hagenberger, Maria S
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2007
Last updated Aug 5th, 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 1790976843 NPPES
New York MEDICAID 02144907

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