Theodore, Ginette

Theodore, Ginette is an sole proprietor health care provider with primary practice located at 2201 Hempstead Tpke , East Meadow NY 11554-1859. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Theodore, Ginette can be contacted via phone (516) 572-5112.

Contact Information

Primary practice address
2201 Hempstead Tpke East Meadow NY 11554-1859
Phone: (516) 572-5112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 301226 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F-301437 New York

Profile Details

NPI number 1427274778
LBN Legal business name Theodore, Ginette
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Sep 18th, 2015 - about 9 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 1427274778 NPPES
New York MEDICAID 02612104

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