Lyn, Sandradene

Lyn, Sandradene is an individual health care provider with primary practice located at 13 Cleveland St , Valley Stream NY 11580-6003. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Lyn, Sandradene can be contacted via phone (718) 978-4999.

Contact Information

Primary practice address
13 Cleveland St Valley Stream NY 11580-6003
Phone: (718) 978-4999
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 259306 New York

Profile Details

NPI number 1043579139
LBN Legal business name Lyn, Sandradene
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2012
Last updated May 9th, 2012 - about 14 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 1043579139 NPPES
New York Other 259306 LPN LICENSE

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