Antonson, Kathleen
Antonson, Kathleen is an sole proprietor health care provider with primary practice located at 6 Philips Ct , Mount Sinai NY 11766-3418. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Antonson, Kathleen can be contacted via phone (631) 236-5799.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 309136-1 | New York |
Profile Details
| NPI number | 1619135639 |
|---|---|
| LBN Legal business name | Antonson, Kathleen |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2008 |
| Last updated | May 27th, 2008 - about 16 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 | 1619135639 | NPPES |
| New York | MEDICAID | 02732323 |
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