Desrocher, Renay Lee

Desrocher, Renay Lee is an sole proprietor health care provider with primary practice located at 412 Stratton Hill Rd , West Chazy NY 12992-3630. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Desrocher, Renay Lee can be contacted via phone (518) 493-4134.

Contact Information

Primary practice address
412 Stratton Hill Rd West Chazy NY 12992-3630
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 22379141 New York

Profile Details

NPI number 1720252919
LBN Legal business name Desrocher, Renay Lee
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2008
Last updated Apr 17th, 2008 - 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 1720252919 NPPES
New York MEDICAID 02923393

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