Kacinski, Mary Alice
Kacinski, Mary Alice is an sole proprietor health care provider with primary practice located at 68 Cleveland Ave , Sayville NY 11782-1323. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Kacinski, Mary Alice can be contacted via phone (631) 589-6070.Contact Information
Primary practice address
68 Cleveland Ave
Sayville NY 11782-1323
Phone: (631) 589-6070
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | 388512-1 | New York |
Profile Details
| NPI number | 1528238771 |
|---|---|
| LBN Legal business name | Kacinski, Mary Alice |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 4th, 2008 |
| Last updated | Mar 4th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528238771 | NPPES |
| New York | MEDICAID | 02431863 |
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