Smith, Patricia V

Smith, Patricia V is an sole proprietor health care provider with primary practice located at 16937 144Th Rd , Jamaica NY 11434-5929. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Patricia V can be contacted via phone (718) 978-7221.

Contact Information

Primary practice address
16937 144Th Rd Jamaica NY 11434-5929
Fax: (718) 949-3192
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F331309-1 New York

Profile Details

NPI number 1578699757
LBN Legal business name Smith, Patricia V
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 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 1578699757 NPPES
New York MEDICAID 01804324

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