Vassall, Idamis

Vassall, Idamis is an individual health care provider with primary practice located at 4802 10Th Avenue , Brooklyn NY 11219. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Vassall, Idamis can be contacted via phone (718) 283-6000.

Contact Information

Primary practice address
4802 10Th Avenue Brooklyn NY 11219
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 35350364 New York

Profile Details

NPI number 1811383599
LBN Legal business name Vassall, Idamis
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2015
Last updated Apr 9th, 2015 - about 10 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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