O'Shaughnessy, Alice Marie
O'Shaughnessy, Alice Marie is an sole proprietor health care provider with primary practice located at 4747-20 Nesconset Hwy , Port Jefferson Station NY 11776-2894. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. O'Shaughnessy, Alice Marie can be contacted via phone (631) 474-5500.Contact Information
Primary practice address
4747-20 Nesconset Hwy
Port Jefferson Station NY 11776-2894
Phone: (631) 474-5500
Fax: (631) 474-2568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 107072 | New York |
Profile Details
| NPI number | 1093886509 |
|---|---|
| LBN Legal business name | O'Shaughnessy, Alice Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Sep 7th, 2023 - about last year |
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 | 1093886509 | NPPES |
| New York | MEDICAID | 00765540 |
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