Hagenberger, Maria S
Hagenberger, Maria S is an sole proprietor health care provider with primary practice located at 107 Northwood Blvd , Central Islip NY 11722-4668. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Hagenberger, Maria S can be contacted via phone (631) 272-5250.Contact Information
Primary practice address
107 Northwood Blvd
Central Islip NY 11722-4668
Phone: (631) 272-5250
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 111380-1 | New York |
Profile Details
| NPI number | 1790976843 |
|---|---|
| LBN Legal business name | Hagenberger, Maria S |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Aug 5th, 2007 - about 18 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 | 1790976843 | NPPES |
| New York | MEDICAID | 02144907 |
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