Bourne, Larina

Bourne, Larina is an individual health care provider with primary practice located at 234 E 149Th St , Bronx NY 10451-5589. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Ambulatory Care, Student, Health Care / Student in an Organized Health Care Education/Training Program. Pharmacy Service Providers / Ambulatory Care is her primary health care specialty. Bourne, Larina can be contacted via phone (718) 579-6536.

Contact Information

Primary practice address
234 E 149Th St Bronx NY 10451-5589
Phone: (718) 579-6536
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X I067485 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Pharmacy Service Providers / Ambulatory Care 1835P2201X CI067485 New York

Profile Details

NPI number 1124580543
LBN Legal business name Bourne, Larina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2019
Last updated Nov 18th, 2021 - about 3 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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