Buccellato, Nicole Rose

Buccellato, Nicole Rose is an sole proprietor health care provider with primary practice located at 1505 Jerusalem Ave , North Merrick NY 11566-1330. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Buccellato, Nicole Rose can be contacted via phone (516) 280-7502.

Contact Information

Primary practice address
1505 Jerusalem Ave North Merrick NY 11566-1330
Phone: (516) 280-7502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 305382 New York

Profile Details

NPI number 1699295014
LBN Legal business name Buccellato, Nicole Rose
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2017
Last updated Jun 16th, 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 1699295014 NPPES
New York Other 305382 NEW YORK STATE

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