Wanukovich, Carla Marie
Wanukovich, Carla Marie is an sole proprietor health care provider with primary practice located at 29 Puritan Ave , East Patchogue NY 11772-5516. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Wanukovich, Carla Marie can be contacted via phone (631) 626-0964.Contact Information
Primary practice address
29 Puritan Ave
East Patchogue NY 11772-5516
Phone: (631) 626-0964
Fax: (631) 569-4761
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1552615 | New York |
Profile Details
| NPI number | 1972866408 |
|---|---|
| LBN Legal business name | Wanukovich, Carla Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2012 |
| Last updated | Jun 19th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972866408 | NPPES |
| New York | Other | 174400000X | SPECIALIST |
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