Nickerson, Berkley

Nickerson, Berkley is an individual health care provider with primary practice located at 19 Bradhurst Ave Suite 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. Nickerson, Berkley can be contacted via phone (914) 493-7997.

Contact Information

Primary practice address
19 Bradhurst Ave Suite 1400 Hawthorne NY 10532-2140
Phone: (914) 493-7997
Fax: (914) 594-4022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18437 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F339223 New York

Profile Details

NPI number 1881997088
LBN Legal business name Nickerson, Berkley
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2010
Last updated Apr 24th, 2015 - about 11 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 1881997088 NPPES
New York MEDICAID 04059656
New York MEDICAID NP18437

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