Penna, Patricia E
Penna, Patricia E is an sole proprietor health care provider with primary practice located at 14 Tulip Grove Dr , Lake Grove NY 11755-1821. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Penna, Patricia E can be contacted via phone (631) 981-0704.Contact Information
Primary practice address
14 Tulip Grove Dr
Lake Grove NY 11755-1821
Phone: (631) 981-0704
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | 371523-1 | New York |
Profile Details
| NPI number | 1215091012 |
|---|---|
| LBN Legal business name | Penna, Patricia E |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215091012 | NPPES |
| New York | MEDICAID | 01109897 |
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