Damon, Venita Alexandra

Damon, Venita Alexandra is an individual health care provider with primary practice located at 12038 231St Street Cambria Heights Jamaica, Queens NY 11411-2220. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Damon, Venita Alexandra can be contacted via phone (718) 527-9315.

Contact Information

Primary practice address
12038 231St Street Cambria Heights Jamaica Queens NY 11411-2220
Phone: (718) 527-9315
Fax: (718) 527-9315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 2438311 New York

Profile Details

NPI number 1740335660
LBN Legal business name Damon, Venita Alexandra
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 17 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 1740335660 NPPES
New York MEDICAID 01690239

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