Boller, Patricia A

Boller, Patricia A is an individual health care provider with primary practice located at 511 Pulaski Rd , Greenlawn NY 11740-1701. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Boller, Patricia A can be contacted via phone (631) 754-1189.

Contact Information

Primary practice address
511 Pulaski Rd Greenlawn NY 11740-1701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 378-172-1 New York

Profile Details

NPI number 1851509442
LBN Legal business name Boller, Patricia A
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jul 9th, 2007 - 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 1851509442 NPPES
New York MEDICAID 01782287

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