Cumbermack, Desiree

Cumbermack, Desiree is an sole proprietor health care provider with primary practice located at 23218 Merrick Blvd , Laurelton NY 11413-2115. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Cumbermack, Desiree can be contacted via phone (718) 528-3432.

Contact Information

Primary practice address
23218 Merrick Blvd Laurelton NY 11413-2115
Phone: (718) 528-3432
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 254394 New York

Profile Details

NPI number 1114179249
LBN Legal business name Cumbermack, Desiree
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2008
Last updated Oct 21st, 2008 - about 16 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 1114179249 NPPES
New York MEDICAID 010556898

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