Ferguson, Rena K
Ferguson, Rena K is an individual health care provider with primary practice located at 128 Old Town Road Ste C & D, Setauket NY 11733. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Ferguson, Rena K can be contacted via phone (631) 689-5390.Contact Information
Primary practice address
128 Old Town Road Ste C & D
Setauket NY 11733
Phone: (631) 689-5390
Fax: (631) 689-5395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 230330 | New York |
Profile Details
| NPI number | 1013082452 |
|---|---|
| LBN Legal business name | Ferguson, Rena K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Dec 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013082452 | NPPES |
| New York | MEDICAID | 02501137 |
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