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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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