Profera, Nicolette
Profera, Nicolette is an individual health care provider with primary practice located at 624 Hawkins Ave , Lake Ronkonkoma NY 11779-2375. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Profera, Nicolette can be contacted via phone (631) 240-3579.Contact Information
Primary practice address
624 Hawkins Ave
Lake Ronkonkoma NY 11779-2375
Phone: (631) 240-3579
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | New York |
Profile Details
| NPI number | 1447092317 |
|---|---|
| LBN Legal business name | Profera, Nicolette |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2024 |
| Last updated | Jun 11th, 2024 - about 6 months 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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