Signor, Connie J

Signor, Connie J is an individual health care provider with primary practice located at 813 Warren St , Hudson NY 12534-3007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Signor, Connie J can be contacted via phone (518) 828-4125.

Contact Information

Primary practice address
813 Warren St Hudson NY 12534-3007
Phone: (518) 828-4125
Fax: (518) 828-4842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F380772 New York

Profile Details

NPI number 1477528669
LBN Legal business name Signor, Connie J
Credentials RN PNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Dec 13th, 2012 - about 13 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 1477528669 NPPES
New York MEDICAID 01616944

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