Harley, Justin M

Harley, Justin M is an individual health care provider with primary practice located at 20 Jerusalem Ave Third Floor, Hicksville NY 11801-4980. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Harley, Justin M can be contacted via phone (631) 481-5160.

Contact Information

Primary practice address
20 Jerusalem Ave Third Floor Hicksville NY 11801-4980
Phone: (631) 481-5160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 306241-1 New York

Profile Details

NPI number 1124399852
LBN Legal business name Harley, Justin M
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2012
Last updated Jan 26th, 2012 - about 12 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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