Ciotola, Shirley

Ciotola, Shirley is an sole proprietor health care provider with primary practice located at 55 Overlook Dr , Mahopac NY 10541-3671. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Ciotola, Shirley can be contacted via phone (845) 628-0425.

Contact Information

Primary practice address
55 Overlook Dr Mahopac NY 10541-3671
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X NY111886-1 New York

Profile Details

NPI number 1962620617
LBN Legal business name Ciotola, Shirley
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2007
Last updated Jul 9th, 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 1962620617 NPPES
New York MEDICAID 01797328

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