Johnson, Maria Tersea

Johnson, Maria Tersea is an sole proprietor health care provider with primary practice located at 113 Benson St , Albany NY 12206-2122. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Johnson, Maria Tersea can be contacted via phone (518) 365-0018.

Contact Information

Primary practice address
113 Benson St Albany NY 12206-2122
Phone: (518) 365-0018
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 517109 New York

Profile Details

NPI number 1669654604
LBN Legal business name Johnson, Maria Tersea
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2007
Last updated Dec 1st, 2007 - about 17 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 1669654604 NPPES
New York MEDICAID 02733535

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