Michael, Phyllis

Michael, Phyllis is an individual health care provider with primary practice located at 314 S Manning Blvd , Albany NY 12208-1708. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Michael, Phyllis can be contacted via phone (518) 453-2273.

Contact Information

Primary practice address
314 S Manning Blvd Albany NY 12208-1708
Phone: (518) 453-2273
Fax: (518) 437-5554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 222530 New York

Profile Details

NPI number 1629031737
LBN Legal business name Michael, Phyllis
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jul 8th, 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 1629031737 NPPES
New York MEDICAID 00222530

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