Page, Mandy
Page, Mandy is an individual health care provider with primary practice located at 994 Jericho Tpke Suite 201, Smithtown NY 11787-3235. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Page, Mandy can be contacted via phone (631) 864-4499.Contact Information
Primary practice address
994 Jericho Tpke Suite 201
Smithtown NY 11787-3235
Phone: (631) 864-4499
Fax: (631) 864-6023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 014179 | New York |
Profile Details
| NPI number | 1265732374 |
|---|---|
| LBN Legal business name | Page, Mandy |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2010 |
| Last updated | Feb 28th, 2019 - about 7 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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