Lucido-Fulton, Roxanne P

Lucido-Fulton, Roxanne P is an sole proprietor health care provider with primary practice located at 59 Plymouth Ave , Mount Sinai NY 11766-2532. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Lucido-Fulton, Roxanne P can be contacted via phone (631) 928-8095.

Contact Information

Primary practice address
59 Plymouth Ave Mount Sinai NY 11766-2532
Phone: (631) 928-8095
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 114262-1 New York

Profile Details

NPI number 1548313703
LBN Legal business name Lucido-Fulton, Roxanne P
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Jul 9th, 2007 - about 18 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 1548313703 NPPES
New York MEDICAID 01709659

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