Bruckenthal, Patricia

Bruckenthal, Patricia is an individual health care provider with primary practice located at 45 Terry Rd , Smithtown NY 11787-3894. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Bruckenthal, Patricia can be contacted via phone (631) 724-7246.

Contact Information

Primary practice address
45 Terry Rd Smithtown NY 11787-3894
Phone: (631) 724-7246
Fax: (631) 724-6377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 340956 New York

Profile Details

NPI number 1558341719
LBN Legal business name Bruckenthal, Patricia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2006
Last updated Jul 8th, 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 1558341719 NPPES
New York MEDICAID 02443167

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