Pakeman, Clomel
Pakeman, Clomel is an individual health care provider with primary practice located at 265 Broadhollow Rd Ste 200 , Melville NY 11747-4833. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Pakeman, Clomel can be contacted via phone (631) 861-5991.Contact Information
Primary practice address
265 Broadhollow Rd Ste 200
Melville NY 11747-4833
Phone: (631) 861-5991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | 366953-01 | New York |
Profile Details
| NPI number | 1083365308 |
|---|---|
| LBN Legal business name | Pakeman, Clomel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2022 |
| Last updated | Jan 18th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083365308 | NPPES |
| New York | MEDICAID | 05695441 |
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