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
Phone: (518) 493-4134
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720252919 | NPPES |
New York | MEDICAID | 02923393 |
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