Staff, Laura Ellen
Staff, Laura Ellen is an individual health care provider with primary practice located at 3 Wembley Ct Ste 101, Albany NY 12205-3891. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Staff, Laura Ellen can be contacted via phone (518) 869-4300.Contact Information
Primary practice address
3 Wembley Ct Ste 101
Albany NY 12205-3891
Phone: (518) 869-4300
Fax: (518) 869-8386
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 198187 | New York |
Profile Details
| NPI number | 1174521363 |
|---|---|
| LBN Legal business name | Staff, Laura Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Sep 27th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174521363 | NPPES |
| New York | MEDICAID | 01628082 |
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