Mott, Nicole Aileen

Mott, Nicole Aileen is an sole proprietor health care provider with primary practice located at 1166 E 3Rd Ave , Bay Shore NY 11706-5536. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mott, Nicole Aileen can be contacted via phone (631) 523-1432.

Contact Information

Primary practice address
1166 E 3Rd Ave Bay Shore NY 11706-5536
Phone: (631) 523-1432
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 287120-1 New York

Profile Details

NPI number 1073719241
LBN Legal business name Mott, Nicole Aileen
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2007
Last updated Apr 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 1073719241 NPPES
New York MEDICAID 02868220
New York Other 287120-1

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