Kingston, Lucille M.
Kingston, Lucille M. is an sole proprietor health care provider with primary practice located at 3580 Sheridan Dr , Amherst NY 14226-1645. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kingston, Lucille M. can be contacted via phone (716) 362-9730.Contact Information
Primary practice address
3580 Sheridan Dr
Amherst NY 14226-1645
Phone: (716) 362-9730
Fax: (716) 362-9729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 38046462 | New York |
Profile Details
| NPI number | 1386778850 |
|---|---|
| LBN Legal business name | Kingston, Lucille M. |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386778850 | NPPES |
| New York | MEDICAID | 02501586 |
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