Gray, Myrtle

Gray, Myrtle is an individual health care provider with primary practice located at 189 Brookside Ave , Roosevelt NY 11575-1901. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Gray, Myrtle can be contacted via phone (516) 546-9019.

Contact Information

Primary practice address
189 Brookside Ave Roosevelt NY 11575-1901
Phone: (516) 546-9019
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 02143759 New York

Profile Details

NPI number 1770750515
LBN Legal business name Gray, Myrtle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2008
Last updated May 12th, 2008 - 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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