Probeck, Kristan

Probeck, Kristan is an individual health care provider with primary practice located at 1743 North Ocean Ave , Medford NY 11763. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Probeck, Kristan can be contacted via phone (631) 758-3100.

Contact Information

Primary practice address
1743 North Ocean Ave Medford NY 11763
Phone: (631) 758-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 544021 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 30 305525 New York

Profile Details

NPI number 1780944363
LBN Legal business name Probeck, Kristan
Credentials RN, MS, ANP
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2012
Last updated Mar 1st, 2016 - about 8 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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