Augustin, Vierge Marie

Augustin, Vierge Marie is an individual health care provider with primary practice located at 23214 Merrick Blvd , Laurelton NY 11413-2115. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Augustin, Vierge Marie can be contacted via phone (718) 528-3432.

Contact Information

Primary practice address
23214 Merrick Blvd Laurelton NY 11413-2115
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 329066-1 New York

Profile Details

NPI number 1316466113
LBN Legal business name Augustin, Vierge Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2017
Last updated Sep 12th, 2017 - about 7 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 1316466113 NPPES
New York Other 329066-1 NYS NURSING LICENSE

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