Davis, Mary Ellen

Davis, Mary Ellen is an individual health care provider with primary practice located at 22 Harford Dr , Coram NY 11727-2909. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Davis, Mary Ellen can be contacted via phone (631) 732-1021.

Contact Information

Primary practice address
22 Harford Dr Coram NY 11727-2909
Phone: (631) 732-1021
Fax: (631) 736-5016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 108497-1 New York

Profile Details

NPI number 1972637262
LBN Legal business name Davis, Mary Ellen
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jul 9th, 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 1972637262 NPPES
New York MEDICAID 02731708

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