Green, Wanda

Green, Wanda is an sole proprietor health care provider with primary practice located at 475 New Hwy , Copiague NY 11726-1027. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Green, Wanda can be contacted via phone (631) 245-1590.

Contact Information

Primary practice address
475 New Hwy Copiague NY 11726-1027
Phone: (631) 245-1590
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 626905 New York

Profile Details

NPI number 1790001576
LBN Legal business name Green, Wanda
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2010
Last updated Apr 19th, 2010 - about 14 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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