Ferguson, Patrice Elizabeth

Ferguson, Patrice Elizabeth is an sole proprietor health care provider with primary practice located at 120 Pelhamdale Ave , Mount Vernon NY 10553-1351. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Ferguson, Patrice Elizabeth can be contacted via phone (914) 664-1686.

Contact Information

Primary practice address
120 Pelhamdale Ave Mount Vernon NY 10553-1351
Phone: (914) 664-1686
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 237119-1 New York

Profile Details

NPI number 1013114438
LBN Legal business name Ferguson, Patrice Elizabeth
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2007
Last updated Jul 9th, 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 1013114438 NPPES
New York MEDICAID 01634082
New York Other 237119-1

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