Tate, Alicia A
Tate, Alicia A is an sole proprietor health care provider with primary practice located at 775 Park Ave Ste 154 , Huntington NY 11743-5162. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Tate, Alicia A can be contacted via phone (631) 427-1100.Contact Information
Primary practice address
775 Park Ave Ste 154
Huntington NY 11743-5162
Phone: (631) 427-1100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F305236-1 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 402781 | New York |
Profile Details
NPI number | 1326308776 |
---|---|
LBN Legal business name | Tate, Alicia A |
Credentials | ANP-C, PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 19th, 2012 |
Last updated | Jul 10th, 2023 - about 2 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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