Aurelus, Edna

Aurelus, Edna is an sole proprietor health care provider with primary practice located at 15 Ebony Street , Staten Island NY 10306-1922. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Aurelus, Edna can be contacted via phone (480) 427-1430.

Contact Information

Primary practice address
15 Ebony Street Staten Island NY 10306-1922
Phone: (480) 427-1430
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X F40255301 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F3358321 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP4001 Arizona

Profile Details

NPI number 1023302502
LBN Legal business name Aurelus, Edna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2011
Last updated Feb 15th, 2022 - about 2 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 1023302502 NPPES
New York MEDICAID 454798231

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