Kammerdener, Sean Alexander

Kammerdener, Sean Alexander is an individual health care provider with primary practice located at 365 Route 109 , West Babylon NY 11704-6213. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kammerdener, Sean Alexander can be contacted via phone (631) 587-9455.

Contact Information

Primary practice address
365 Route 109 West Babylon NY 11704-6213
Phone: (631) 587-9455
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 047703 New York

Profile Details

NPI number 1245407121
LBN Legal business name Kammerdener, Sean Alexander
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2008
Last updated Nov 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 1245407121 NPPES
New York MEDICAID 02101619

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