Spector, Patricia
Spector, Patricia is an sole proprietor health care provider with primary practice located at 4655 Nesconset Hwy , Port Jefferson Station NY 11776-2579. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Spector, Patricia can be contacted via phone (631) 680-0159.Contact Information
Primary practice address
4655 Nesconset Hwy
Port Jefferson Station NY 11776-2579
Phone: (631) 680-0159
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | F401611 | New York |
Profile Details
| NPI number | 1407265127 |
|---|---|
| LBN Legal business name | Spector, Patricia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2014 |
| Last updated | Aug 6th, 2014 - about 12 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 | 1407265127 | NPPES |
| New York | MEDICAID | 1407265127 |
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