Logan, Alicia

Logan, Alicia is an individual health care provider with primary practice located at 1983 Marcus Ave , New Hyde Park NY 11042-2000. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Logan, Alicia can be contacted via phone (516) 326-5600.

Contact Information

Primary practice address
1983 Marcus Ave New Hyde Park NY 11042-2000
Phone: (516) 326-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 016700-1 New York

Profile Details

NPI number 1114214483
LBN Legal business name Logan, Alicia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2011
Last updated Nov 23rd, 2012 - about 13 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 1114214483 NPPES
New York MEDICAID 01395326

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