Phillips Sivacek, Darcie A
Phillips Sivacek, Darcie A is an individual health care provider with primary practice located at 2305 Jericho Tpke , Garden City Park NY 11040-4709. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Phillips Sivacek, Darcie A can be contacted via phone (516) 741-1510.Contact Information
Primary practice address
2305 Jericho Tpke
Garden City Park NY 11040-4709
Phone: (516) 741-1510
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 046634 | New York |
Profile Details
| NPI number | 1528237419 |
|---|---|
| LBN Legal business name | Phillips Sivacek, Darcie A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 25th, 2008 |
| Last updated | Feb 25th, 2008 - about 17 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 | 1528237419 | NPPES |
| Other | 046634 | NEW YORK STATE | |
| MEDICAID | 02770785 | NEW YORK STATE |
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