South, Sally

South, Sally is an sole proprietor health care provider with primary practice located at 3408 Park Ave , Wantagh NY 11793-3702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. South, Sally can be contacted via phone (516) 221-2123.

Contact Information

Primary practice address
3408 Park Ave Wantagh NY 11793-3702
Phone: (516) 221-2123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 401632 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F401632-1 New York

Profile Details

NPI number 1528498375
LBN Legal business name South, Sally
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2013
Last updated Oct 8th, 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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