Mccarthy, Colleen Deidre
Mccarthy, Colleen Deidre is an sole proprietor health care provider with primary practice located at 120 96Th St #2E, Brooklyn NY 11209-7547. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Mccarthy, Colleen Deidre can be contacted via phone (718) 680-5643.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Pediatrics | 163WP0200X | 505975 | New York |
Profile Details
| NPI number | 1073703088 |
|---|---|
| LBN Legal business name | Mccarthy, Colleen Deidre |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2007 |
| Last updated | Jul 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073703088 | NPPES |
| New York | MEDICAID | 01866875 |
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