Temple, Tijuana

Temple, Tijuana is an individual health care provider with primary practice located at 65 Pennaquid Rd , Coram NY 11727-1227. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Temple, Tijuana can be contacted via phone (631) 605-1783.

Contact Information

Primary practice address
65 Pennaquid Rd Coram NY 11727-1227
Phone: (631) 605-1783
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 348067 New York

Profile Details

NPI number 1881369486
LBN Legal business name Temple, Tijuana
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2021
Last updated Aug 16th, 2021 - about 5 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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