Greenfield, Jerry

Greenfield, Jerry is an sole proprietor health care provider with primary practice located at 51 Gauguin Ct , Middle Island NY 11953-2001. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Greenfield, Jerry can be contacted via phone (631) 924-1374.

Contact Information

Primary practice address
51 Gauguin Ct Middle Island NY 11953-2001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 253928 New York

Profile Details

NPI number 1104130053
LBN Legal business name Greenfield, Jerry
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2010
Last updated Aug 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104130053 NPPES
New York Other 253928 LPN

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