Robert, Illaine

Robert, Illaine is an sole proprietor health care provider with primary practice located at 242 Clay Pitts Rd , E Northport NY 11731-3427. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Robert, Illaine can be contacted via phone (631) 901-9588.

Contact Information

Primary practice address
242 Clay Pitts Rd E Northport NY 11731-3427
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 299338 New York

Profile Details

NPI number 1740812015
LBN Legal business name Robert, Illaine
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2020
Last updated Feb 5th, 2020 - about 4 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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