Antoine, Judith
Antoine, Judith is an sole proprietor health care provider with primary practice located at 805 Saint Marks Ave Apt C3H , Brooklyn NY 11213-1454. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Antoine, Judith can be contacted via phone (347) 529-9362.Contact Information
Primary practice address
805 Saint Marks Ave Apt C3H
Brooklyn NY 11213-1454
Phone: (347) 529-9362
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 327145 | New York |
Profile Details
NPI number | 1104378835 |
---|---|
LBN Legal business name | Antoine, Judith |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 28th, 2016 |
Last updated | Oct 28th, 2016 - about 8 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 | 1104378835 | NPPES |
New York | MEDICAID | PV18741Q |
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