Ndala, Sophie Nomsombuluko
Ndala, Sophie Nomsombuluko is an sole proprietor health care provider with primary practice located at 49 Piedmont Dr Apt 66B , Port Jefferson Station NY 11776-1121. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Ndala, Sophie Nomsombuluko can be contacted via phone (631) 828-8286.Contact Information
Primary practice address
49 Piedmont Dr Apt 66B
Port Jefferson Station NY 11776-1121
Phone: (631) 828-8286
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 555901-1 | New York |
Profile Details
| NPI number | 1891946505 |
|---|---|
| LBN Legal business name | Ndala, Sophie Nomsombuluko |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2008 |
| Last updated | Oct 1st, 2008 - about 16 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 | 1891946505 | NPPES |
| New York | MEDICAID | 555901-1 |
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