Mambondimumwe, Elizabeth
Mambondimumwe, Elizabeth is an sole proprietor health care provider with primary practice located at 1607 Route 300 Suite 102, Newburgh NY 12550-1738. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mambondimumwe, Elizabeth can be contacted via phone (845) 564-9853.Contact Information
Primary practice address
1607 Route 300 Suite 102
Newburgh NY 12550-1738
Phone: (845) 564-9853
Fax: (845) 564-6974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 016021-1 | New York |
Profile Details
| NPI number | 1205058088 |
|---|---|
| LBN Legal business name | Mambondimumwe, Elizabeth |
| Credentials | Registered Physical Therapist (RPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 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 | 1205058088 | NPPES |
| New York | Other | 016021-1 | RPT LICENSE |
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