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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104378835 NPPES
New York MEDICAID PV18741Q

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