Underwood, Autumn

Underwood, Autumn is an individual health care provider with primary practice located at 165 Parkway Blvd , Wyandanch NY 11798-4305. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Underwood, Autumn can be contacted via phone (917) 415-0157.

Contact Information

Primary practice address
165 Parkway Blvd Wyandanch NY 11798-4305
Phone: (917) 415-0157
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 544384 New York

Profile Details

NPI number 1689255564
LBN Legal business name Underwood, Autumn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2021
Last updated Apr 21st, 2021 - about 3 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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