Havernick, Nancy J

Havernick, Nancy J is an individual health care provider with primary practice located at 5850 Heritage Landing Dr , E Syracuse NY 13057. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Havernick, Nancy J can be contacted via phone (315) 446-2985.

Contact Information

Primary practice address
5850 Heritage Landing Dr E Syracuse NY 13057
Phone: (315) 446-2985
Fax: (315) 446-2988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 15900 New York

Profile Details

NPI number 1952431421
LBN Legal business name Havernick, Nancy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Oct 3rd, 2013 - about 11 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 1952431421 NPPES
New York MEDICAID 00845905

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