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
Phone: (718) 539-8044
Fax: (718) 539-8045
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962727941 | NPPES |
New York | MEDICAID | 1609042175 |
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