Archibald, Marilyn

Archibald, Marilyn is an individual health care provider with primary practice located at 13 Cleveland St Valley Stream, Valley Stream NY 11580-6003. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Medical-Surgical. Nursing Service Providers / Medical-Surgical is her primary health care specialty. Archibald, Marilyn can be contacted via phone (516) 823-0739.

Contact Information

Primary practice address
13 Cleveland St Valley Stream Valley Stream NY 11580-6003
Phone: (516) 823-0739
Fax: (516) 823-1550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 22 683025 New York
Nursing Service Providers / Medical-Surgical 163WM0705X 22. 683025 New York

Profile Details

NPI number 1750791612
LBN Legal business name Archibald, Marilyn
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2014
Last updated Apr 30th, 2014 - about 12 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 1750791612 NPPES
New York Other RN NO. 22 683025 REGISTERED NURSE

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