Koschack, Nicoleta V
Koschack, Nicoleta V is an individual health care provider with primary practice located at 500 Commack Rd , Commack NY 11725-5020. 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. Koschack, Nicoleta V can be contacted via phone (631) 638-0736.Contact Information
Primary practice address
500 Commack Rd
Commack NY 11725-5020
Phone: (631) 638-0736
Fax: (631) 630-6297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F307021 | New York |
Profile Details
| NPI number | 1780051482 |
|---|---|
| LBN Legal business name | Koschack, Nicoleta V |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2015 |
| Last updated | Nov 4th, 2020 - about 6 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 | 1780051482 | NPPES |
| New York | Other | AG1114075 | AANP |
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