Burroughs, Noah
Burroughs, Noah is an sole proprietor health care provider with primary practice located at 1842 Westervelt Ave , North Baldwin NY 11510-2228. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Burroughs, Noah can be contacted via phone (646) 359-7911.Contact Information
Primary practice address
1842 Westervelt Ave
North Baldwin NY 11510-2228
Phone: (646) 359-7911
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Home Modifications | 171WH0202X | 337436234 | New York |
Profile Details
NPI number | 1104245299 |
---|---|
LBN Legal business name | Burroughs, Noah |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 16th, 2014 |
Last updated | Apr 16th, 2014 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104245299 | NPPES |
New York | MEDICAID | 12334354 |
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