Dullea, Linda A

Dullea, Linda A is an sole proprietor health care provider with primary practice located at 133 Brook St , Oakdale NY 11769-1804. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Dullea, Linda A can be contacted via phone (631) 589-6646.

Contact Information

Primary practice address
133 Brook St Oakdale NY 11769-1804
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 408430-1 New York

Profile Details

NPI number 1083871842
LBN Legal business name Dullea, Linda A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2008
Last updated May 20th, 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 1083871842 NPPES
New York MEDICAID 02886262

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