Igbide, Paul O

Igbide, Paul O is an sole proprietor health care provider with primary practice located at 354 Hempstead Ave Ste 101 , West Hempstead NY 11552-2050. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Igbide, Paul O can be contacted via phone (516) 500-9905.

Contact Information

Primary practice address
354 Hempstead Ave Ste 101 West Hempstead NY 11552-2050
Phone: (516) 500-9905
Fax: (855) 844-6939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 305988 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 404221 New York

Profile Details

NPI number 1912263831
LBN Legal business name Igbide, Paul O
Credentials ANP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2012
Last updated Jan 18th, 2023 - about last year

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 1912263831 NPPES
New York MEDICAID 04785897

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