Ambrose, Diane
Ambrose, Diane is an sole proprietor health care provider with primary practice located at 135 N Elm St , N Massapequa NY 11758-2648. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Ambrose, Diane can be contacted via phone (516) 541-2594.Contact Information
Primary practice address
135 N Elm St
N Massapequa NY 11758-2648
Phone: (516) 541-2594
Fax: (516) 795-7317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1255693016 |
|---|---|
| LBN Legal business name | Ambrose, Diane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2012 |
| Last updated | Jun 7th, 2012 - about 13 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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