Degraff-Dacey, Angie L.

Degraff-Dacey, Angie L. is an sole proprietor health care provider with primary practice located at 160 Florentia Ln E , Corning NY 14830. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Degraff-Dacey, Angie L. can be contacted via phone (607) 207-1137.

Contact Information

Primary practice address
160 Florentia Ln E Corning NY 14830
Phone: (607) 207-1137
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 293945 New York

Profile Details

NPI number 1285880625
LBN Legal business name Degraff-Dacey, Angie L.
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2008
Last updated May 7th, 2009 - about 15 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 1285880625 NPPES
New York MEDICAID 03032937

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