Courtney, Ann
Courtney, Ann is an individual health care provider with primary practice located at Health Sciences Center T11-080 , Stony Brook NY 11794-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Courtney, Ann can be contacted via phone (631) 444-3429.Contact Information
Primary practice address
Health Sciences Center T11-080
Stony Brook NY 11794-0001
Phone: (631) 444-3429
Fax: (631) 444-6045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | F381236 | New York |
Profile Details
| NPI number | 1235128638 |
|---|---|
| LBN Legal business name | Courtney, Ann |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Apr 21st, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235128638 | NPPES |
| New York | MEDICAID | 02735082 |
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