Baldev, Lavizan

Baldev, Lavizan is an individual health care provider with primary practice located at 9 Norton Ave , Port Jefferson Station NY 11776-4407. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Baldev, Lavizan can be contacted via phone (631) 474-7878.

Contact Information

Primary practice address
9 Norton Ave Port Jefferson Station NY 11776-4407
Phone: (631) 474-7878
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 536970-1 New York

Profile Details

NPI number 1346408143
LBN Legal business name Baldev, Lavizan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2008
Last updated May 28th, 2008 - about 17 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 1346408143 NPPES
New York MEDICAID DU32484Y

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