Frengle-Burke, Ingrid Selma

Frengle-Burke, Ingrid Selma is an individual health care provider with primary practice located at 147 Lake St , Newburgh NY 12550. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Frengle-Burke, Ingrid Selma can be contacted via phone (845) 563-8000.

Contact Information

Primary practice address
147 Lake St Newburgh NY 12550
Phone: (845) 563-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F336008 New York

Profile Details

NPI number 1154551851
LBN Legal business name Frengle-Burke, Ingrid Selma
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2009
Last updated Jun 6th, 2019 - about 5 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 1154551851 NPPES
New York MEDICAID 03354092

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