Pelka, Judey A
Pelka, Judey A is an individual health care provider with primary practice located at 731 White Plains Rd , Bronx NY 10473-2631. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Pelka, Judey A can be contacted via phone (718) 589-8324.Contact Information
Primary practice address
731 White Plains Rd
Bronx NY 10473-2631
Phone: (718) 589-8324
Fax: (718) 378-2880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | 004893 | New York |
Profile Details
| NPI number | 1285628339 |
|---|---|
| LBN Legal business name | Pelka, Judey A |
| Credentials | Certified Dialysis Nurse (CDN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285628339 | NPPES |
| New York | MEDICAID | 00665274 |
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