Archibald, Frederica

Archibald, Frederica is an sole proprietor health care provider with primary practice located at 45-66 162 Street Suite 1 Dels Comprehensive Health Care Registry Agency Inc, Flushing NY 11358-3158. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Archibald, Frederica can be contacted via phone (718) 539-8044.

Contact Information

Primary practice address
45-66 162 Street Suite 1 Dels Comprehensive Health Care Registry Agency Inc Flushing NY 11358-3158
Fax: (718) 539-8045
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 266680 New York

Profile Details

NPI number 1962727941
LBN Legal business name Archibald, Frederica
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2010
Last updated Apr 1st, 2010 - about 14 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 1962727941 NPPES
New York MEDICAID 1609042175

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