Nussbaum, Rena

Nussbaum, Rena is an sole proprietor health care provider with primary practice located at 14433 77Th Ave St 1B, Flushing NY 11367-3129. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Nussbaum, Rena can be contacted via phone (718) 268-0676.

Contact Information

Primary practice address
14433 77Th Ave St 1B Flushing NY 11367-3129
Phone: (718) 268-0676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 621994 New York

Profile Details

NPI number 1639400237
LBN Legal business name Nussbaum, Rena
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2010
Last updated Jan 20th, 2010 - about 14 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 1639400237 NPPES
New York MEDICAID 1639400237

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