Coriolan, Ardouin
Coriolan, Ardouin is an individual health care provider with primary practice located at 770 Grand Blvd , Deer Park NY 11729-5750. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Coriolan, Ardouin can be contacted via phone (631) 392-4357.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 641751 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 341841 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 403554 | New York |
Profile Details
NPI number | 1992234942 |
---|---|
LBN Legal business name | Coriolan, Ardouin |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 5th, 2017 |
Last updated | Dec 6th, 2021 - about 4 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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