Van Sluytman, Desiree Angela

Van Sluytman, Desiree Angela is an individual health care provider with primary practice located at 13 Cleveland Street , Valley Stream NY 11580. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Van Sluytman, Desiree Angela can be contacted via phone (518) 823-0739.

Contact Information

Primary practice address
13 Cleveland Street Valley Stream NY 11580
Phone: (518) 823-0739
Fax: (516) 823-1550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 265456 New York
Nursing Service Providers / Registered Nurse 163W00000X 636659 New York

Profile Details

NPI number 1396998936
LBN Legal business name Van Sluytman, Desiree Angela
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2008
Last updated Jun 27th, 2011 - about 14 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 1396998936 NPPES
New York Other 265456 UNIVERSITY OF THE STATE OF NEW YORK
New York Other 265456 UNIVERSITY OF THE STATE OF NEW YORK

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