King, Alida M

King, Alida M is an individual health care provider with primary practice located at 161 Carey Rd , Queensbury NY 12804-7821. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. King, Alida M can be contacted via phone (518) 824-8610.

Contact Information

Primary practice address
161 Carey Rd Queensbury NY 12804-7821
Phone: (518) 824-8610
Fax: (518) 824-2390
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 607329 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F345975 New York

Profile Details

NPI number 1902379688
LBN Legal business name King, Alida M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2019
Last updated Apr 5th, 2022 - about 3 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 1902379688 NPPES
New York MEDICAID 05439267

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