Pavlis, Bernadette

Pavlis, Bernadette is an individual health care provider with primary practice located at 205 N Belle Mead Ave , East Setauket NY 11733. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Pavlis, Bernadette can be contacted via phone (631) 444-4630.

Contact Information

Primary practice address
205 N Belle Mead Ave East Setauket NY 11733
Phone: (631) 444-4630
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F301377 New York

Profile Details

NPI number 1932124120
LBN Legal business name Pavlis, Bernadette
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932124120 NPPES
New York Other 0E2511 EMPIRE BC.BS
New York MEDICAID 02127737 EMPIRE BC.BS

Popular Providers