Souza, Karen M.

Souza, Karen M. is an sole proprietor health care provider with primary practice located at 118 Brook Ln , Smithtown NY 11787-4427. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Nursing Service Providers / Registered Nurse is her primary health care specialty. Souza, Karen M. can be contacted via phone (631) 265-4286.

Contact Information

Primary practice address
118 Brook Ln Smithtown NY 11787-4427
Phone: (631) 265-4286
Fax: (631) 265-7797
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 353578-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F380238-1 New York

Profile Details

NPI number 1770786436
LBN Legal business name Souza, Karen M.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2007
Last updated Jul 9th, 2007 - about 18 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 1770786436 NPPES
New York MEDICAID 02366214

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