Spector, Patricia

Spector, Patricia is an sole proprietor health care provider with primary practice located at 4655 Nesconset Hwy , Port Jefferson Station NY 11776-2579. 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. Spector, Patricia can be contacted via phone (631) 680-0159.

Contact Information

Primary practice address
4655 Nesconset Hwy Port Jefferson Station NY 11776-2579
Phone: (631) 680-0159
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F401611 New York

Profile Details

NPI number 1407265127
LBN Legal business name Spector, Patricia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2014
Last updated Aug 6th, 2014 - about 10 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 1407265127 NPPES
New York MEDICAID 1407265127

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