Joseph, Iphanie

Joseph, Iphanie is an sole proprietor health care provider with primary practice located at 1364 Islip Ave , Brentwood NY 11717-6515. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Joseph, Iphanie can be contacted via phone (631) 273-6594.

Contact Information

Primary practice address
1364 Islip Ave Brentwood NY 11717-6515
Phone: (631) 273-6594
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 210108-1 New York

Profile Details

NPI number 1891984753
LBN Legal business name Joseph, Iphanie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2007
Last updated Oct 8th, 2015 - about 9 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 1891984753 NPPES
New York MEDICAID 01256293

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