Medina-Kreppein, Daisy

Medina-Kreppein, Daisy is an sole proprietor health care provider with primary practice located at 2280 N Ocean Ave Inside Kmart, Farmingville NY 11738-2911. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Medina-Kreppein, Daisy can be contacted via phone (631) 282-8450.

Contact Information

Primary practice address
2280 N Ocean Ave Inside Kmart Farmingville NY 11738-2911
Phone: (631) 282-8450
Fax: (631) 320-1300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 491154 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 334130 New York

Profile Details

NPI number 1487656112
LBN Legal business name Medina-Kreppein, Daisy
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2005
Last updated Aug 16th, 2013 - about 11 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 1487656112 NPPES
New York MEDICAID 02827998

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