Hercules, Marcia Roxanne

Hercules, Marcia Roxanne is an sole proprietor health care provider with primary practice located at 14 Eisenhower Ave , Brentwood NY 11717-3317. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Hercules, Marcia Roxanne can be contacted via phone (631) 813-2371.

Contact Information

Primary practice address
14 Eisenhower Ave Brentwood NY 11717-3317
Phone: (631) 813-2371
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 281269-1 New York

Profile Details

NPI number 1154595643
LBN Legal business name Hercules, Marcia Roxanne
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2008
Last updated Apr 16th, 2008 - about 18 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 1154595643 NPPES
New York MEDICAID 02927888

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