Lamb, Phyllis Wandah
Lamb, Phyllis Wandah is an sole proprietor health care provider with primary practice located at 115 Van Buren St , Mastic NY 11950-4101. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Lamb, Phyllis Wandah can be contacted via phone (631) 772-2253.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 272527 | New York |
Profile Details
| NPI number | 1164605937 |
|---|---|
| LBN Legal business name | Lamb, Phyllis Wandah |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2007 |
| Last updated | Dec 14th, 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 | 1164605937 | NPPES |
| New York | MEDICAID | 02816044 |
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