Pryzby, Kacey Johannah

Pryzby, Kacey Johannah is an sole proprietor health care provider with primary practice located at 444 N Sea Rd , Southampton NY 11968-2057. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Pryzby, Kacey Johannah can be contacted via phone (631) 283-4843.

Contact Information

Primary practice address
444 N Sea Rd Southampton NY 11968-2057
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 382897 New York

Profile Details

NPI number 1295213700
LBN Legal business name Pryzby, Kacey Johannah
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2018
Last updated Aug 6th, 2018 - about 8 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 1295213700 NPPES
New York Other 382897 LICENSE NUMBER

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