Wright, Roberta Diane

Wright, Roberta Diane is an individual health care provider with primary practice located at 12 N 7Th Ave , Mount Vernon NY 10550-2026. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wright, Roberta Diane can be contacted via phone (914) 664-8000.

Contact Information

Primary practice address
12 N 7Th Ave Mount Vernon NY 10550-2026
Fax: (914) 664-8015
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F331921-1 New York

Profile Details

NPI number 1780658179
LBN Legal business name Wright, Roberta Diane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Oct 9th, 2007 - about 17 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 1780658179 NPPES
New York MEDICAID 02367559

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