Mouloudj, Sandra

Mouloudj, Sandra is an individual health care provider with primary practice located at Carmen Ave , East Meadow NY 11554. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mouloudj, Sandra can be contacted via phone (516) 572-3945.

Contact Information

Primary practice address
Carmen Ave East Meadow NY 11554
Phone: (516) 572-3945
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 432330 New York

Profile Details

NPI number 1225139041
LBN Legal business name Mouloudj, Sandra
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Oct 23rd, 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 1225139041 NPPES
New York Other 432330 LICENSE#

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