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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104245299 NPPES
New York MEDICAID 12334354

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