Boucicaut, Rose Marthe

Boucicaut, Rose Marthe is an sole proprietor health care provider with primary practice located at 216 Prairie Dr , North Babylon NY 11703-1002. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Boucicaut, Rose Marthe can be contacted via phone (631) 274-5509.

Contact Information

Primary practice address
216 Prairie Dr North Babylon NY 11703-1002
Phone: (631) 274-5509
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 561176-1 New York

Profile Details

NPI number 1205022217
LBN Legal business name Boucicaut, Rose Marthe
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2007
Last updated Jan 11th, 2018 - about 6 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 1205022217 NPPES
New York MEDICAID 02702692

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