Percoco, Agnes
Percoco, Agnes is an sole proprietor health care provider with primary practice located at 627 Jayne Blvd , Port Jefferson NY 11776-2947. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Percoco, Agnes can be contacted via phone (631) 331-5218.Contact Information
Primary practice address
627 Jayne Blvd
Port Jefferson NY 11776-2947
Phone: (631) 331-5218
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 144237-1 | New York |
Profile Details
| NPI number | 1568852150 |
|---|---|
| LBN Legal business name | Percoco, Agnes |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2015 |
| Last updated | Feb 3rd, 2015 - about 9 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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