Edington, Diavonni Kimberley Blythe
Edington, Diavonni Kimberley Blythe is an sole proprietor health care provider with primary practice located at 380 Washington Ave , Roosevelt NY 11575-1845. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Edington, Diavonni Kimberley Blythe can be contacted via phone (516) 378-2000.Contact Information
Primary practice address
380 Washington Ave
Roosevelt NY 11575-1845
Phone: (516) 378-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | 762316 | New York |
Profile Details
| NPI number | 1043895204 |
|---|---|
| LBN Legal business name | Edington, Diavonni Kimberley Blythe |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2021 |
| Last updated | Mar 9th, 2021 - about 3 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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