Thervil, Alicia

Thervil, Alicia is an individual health care provider with primary practice located at 13340 85Th St , Ozone Park NY 11417-1924. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Thervil, Alicia can be contacted via phone (917) 544-0848.

Contact Information

Primary practice address
13340 85Th St Ozone Park NY 11417-1924
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 809158 New York

Profile Details

NPI number 1417660903
LBN Legal business name Thervil, Alicia
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2022
Last updated Dec 30th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417660903 NPPES
New York MEDICAID 809158

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