Monserrate, Nicole Marie

Monserrate, Nicole Marie is an sole proprietor health care provider with primary practice located at 250 Delaware Ave Suite 100, Delmar NY 12054-1401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Monserrate, Nicole Marie can be contacted via phone (518) 439-8077.

Contact Information

Primary practice address
250 Delaware Ave Suite 100 Delmar NY 12054-1401
Fax: (518) 439-8070
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 249693 New York

Profile Details

NPI number 1871520700
LBN Legal business name Monserrate, Nicole Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2006
Last updated Jul 14th, 2015 - about 10 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 1871520700 NPPES
New York MEDICAID 03034562
New York MEDICAID 005881200

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