Devine, Mary
Devine, Mary is an sole proprietor health care provider with primary practice located at 2201 Hempstead Tpke Internal Box 42, East Meadow NY 11554-1859. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Devine, Mary can be contacted via phone (516) 572-6131.Contact Information
Primary practice address
2201 Hempstead Tpke Internal Box 42
East Meadow NY 11554-1859
Phone: (516) 572-6131
Fax: (516) 572-5793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 006111 | New York |
Profile Details
| NPI number | 1891856852 |
|---|---|
| LBN Legal business name | Devine, Mary |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891856852 | NPPES |
| New York | Other | 006111 | LICENSE NUMBER |
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