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

Primary practice address
770 Grand Blvd Deer Park NY 11729-5750
Phone: (631) 392-4357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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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