Theodate, Emilia

Theodate, Emilia is an sole proprietor health care provider with primary practice located at 5 Birch St , Central Islip NY 11722-3101. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Theodate, Emilia can be contacted via phone (631) 231-6919.

Contact Information

Primary practice address
5 Birch St Central Islip NY 11722-3101
Phone: (631) 231-6919
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 22560607 New York

Profile Details

NPI number 1255616983
LBN Legal business name Theodate, Emilia
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2011
Last updated Oct 13th, 2011 - about 15 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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