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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386778850 NPPES
New York MEDICAID 02501586

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