Peters, Fairy

Peters, Fairy is an sole proprietor health care provider with primary practice located at 564 Pinebrook Ave , West Hempstead NY 11552-4225. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Peters, Fairy can be contacted via phone (516) 208-9245.

Contact Information

Primary practice address
564 Pinebrook Ave West Hempstead NY 11552-4225
Phone: (516) 208-9245
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 172968-1 Mississippi

Profile Details

NPI number 1508986209
LBN Legal business name Peters, Fairy
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508986209 NPPES
New York MEDICAID 01516527

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