Banovich, Rosalie

Banovich, Rosalie is an sole proprietor health care provider with primary practice located at 565 Route 25A Ste 209 , Miller Place NY 11764-2600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Banovich, Rosalie can be contacted via phone (631) 445-6881.

Contact Information

Primary practice address
565 Route 25A Ste 209 Miller Place NY 11764-2600
Phone: (631) 445-6881
Fax: (631) 849-4926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F400724 New York

Profile Details

NPI number 1306941026
LBN Legal business name Banovich, Rosalie
Credentials NPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2006
Last updated Mar 7th, 2023 - 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 1306941026 NPPES
New York Other F400724 PSYCH NURSE PRACT. LIC
New York Other 330804 PSYCH NURSE PRACT. LIC

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