Evans, Geraldine Ruth

Evans, Geraldine Ruth is an individual health care provider with primary practice located at 587A Great Neck Rd , West Babylon NY 11704. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Evans, Geraldine Ruth can be contacted via phone (631) 539-6562.

Contact Information

Primary practice address
587A Great Neck Rd West Babylon NY 11704
Phone: (631) 539-6562
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 0791481 New York

Profile Details

NPI number 1225222391
LBN Legal business name Evans, Geraldine Ruth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2007
Last updated Aug 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225222391 NPPES
New York MEDICAID 01758396

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