Eckley, Justina M
Eckley, Justina M is an individual health care provider with primary practice located at 285 W Main St Ste 104 , Sayville NY 11782-2540. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Eckley, Justina M can be contacted via phone (631) 563-8190.Contact Information
Primary practice address
285 W Main St Ste 104
Sayville NY 11782-2540
Phone: (631) 563-8190
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | F-382150 | New York |
Profile Details
NPI number | 1104126408 |
---|---|
LBN Legal business name | Eckley, Justina M |
Credentials | Pediatric Nurse Practitioner (PNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 2nd, 2010 |
Last updated | May 12th, 2022 - about 2 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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