Heywood-Gregory, Kamilah N

Heywood-Gregory, Kamilah N is an individual health care provider with primary practice located at 19 Bradhurst Ave Ste 1400, Hawthorne NY 10532-2140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Heywood-Gregory, Kamilah N can be contacted via phone (914) 493-8558.

Contact Information

Primary practice address
19 Bradhurst Ave Ste 1400 Hawthorne NY 10532-2140
Phone: (914) 493-8558
Fax: (914) 493-1488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F335845 New York

Profile Details

NPI number 1366676066
LBN Legal business name Heywood-Gregory, Kamilah N
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2009
Last updated Jul 23rd, 2013 - about 13 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 1366676066 NPPES
New York MEDICAID 03111846

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