Perry, Octavia

Perry, Octavia is an individual health care provider with primary practice located at 160 N Midland Ave , Nyack NY 10960-1912. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Perry, Octavia can be contacted via phone (845) 348-2000.

Contact Information

Primary practice address
160 N Midland Ave Nyack NY 10960-1912
Phone: (845) 348-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024175789 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 344839 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 21238 South Carolina

Profile Details

NPI number 1568931962
LBN Legal business name Perry, Octavia
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2018
Last updated Sep 24th, 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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