Pugh, Beverly

Pugh, Beverly is an sole proprietor health care provider with primary practice located at 518 Kissel Ave , Staten Island NY 10301-2631. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Pugh, Beverly can be contacted via phone (718) 981-9606.

Contact Information

Primary practice address
518 Kissel Ave Staten Island NY 10301-2631
Phone: (718) 981-9606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 215482-1 New York

Profile Details

NPI number 1912106188
LBN Legal business name Pugh, Beverly
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2007
Last updated Jul 17th, 2007 - about 19 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 1912106188 NPPES
New York MEDICAID 01957208

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