Sellers, Carol A

Sellers, Carol A is an individual health care provider with primary practice located at 1 Family Practice Drive , Kingston NY 12401-2832. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Sellers, Carol A can be contacted via phone (845) 338-6400.

Contact Information

Primary practice address
1 Family Practice Drive Kingston NY 12401-2832
Phone: (845) 338-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F304927-1 New York

Profile Details

NPI number 1336392430
LBN Legal business name Sellers, Carol A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2008
Last updated Oct 31st, 2014 - about 11 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 1336392430 NPPES
New York MEDICAID 30000001SVJQEA0

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