Clyne, Joan M

Clyne, Joan M is an individual health care provider with primary practice located at 155 S Clinton Ave , Lindenhurst NY 11757-5121. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Clyne, Joan M can be contacted via phone (631) 226-4649.

Contact Information

Primary practice address
155 S Clinton Ave Lindenhurst NY 11757-5121
Phone: (631) 226-4649
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 129670 New York

Profile Details

NPI number 1093151870
LBN Legal business name Clyne, Joan M
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2013
Last updated May 20th, 2013 - about 11 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 1093151870 NPPES
New York Other 129670 NYS LPN

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