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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1528238771 NPPES
New York MEDICAID 02431863

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