Cardona, Eddie

Cardona, Eddie is an sole proprietor health care provider with primary practice located at 777 Seaview Ave , Staten Island NY 10305-3409. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Cardona, Eddie can be contacted via phone (718) 667-2648.

Contact Information

Primary practice address
777 Seaview Ave Staten Island NY 10305-3409
Phone: (718) 667-2648
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 649738 New York

Profile Details

NPI number 1124534441
LBN Legal business name Cardona, Eddie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2017
Last updated Dec 22nd, 2017 - about 8 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 1124534441 NPPES
New York MEDICAID 2997157

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