Abbott, Angela Y

Abbott, Angela Y is an sole proprietor health care provider with primary practice located at 31 Hyde Ln , Coram NY 11727-3524. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Abbott, Angela Y can be contacted via phone (631) 830-7915.

Contact Information

Primary practice address
31 Hyde Ln Coram NY 11727-3524
Phone: (631) 830-7915
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 262689 New York

Profile Details

NPI number 1356537641
LBN Legal business name Abbott, Angela Y
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2007
Last updated Sep 20th, 2007 - about 17 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 1356537641 NPPES
New York MEDICAID 02886060

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