Smith, Gregory

Smith, Gregory is an individual health care provider with primary practice located at 93 Smithtown Polk Blvd , Centereach NY 11720-3202. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Smith, Gregory can be contacted via phone (631) 698-3897.

Contact Information

Primary practice address
93 Smithtown Polk Blvd Centereach NY 11720-3202
Phone: (631) 698-3897
Fax: (631) 698-3897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 271558 New York

Profile Details

NPI number 1881726511
LBN Legal business name Smith, Gregory
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jul 9th, 2007 - about 17 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 1881726511 NPPES
New York MEDICAID 02362201

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