Wysocki, Elizabeth A

Wysocki, Elizabeth A is an sole proprietor health care provider with primary practice located at 259 1St St , Mineola NY 11501-3957. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wysocki, Elizabeth A can be contacted via phone (516) 663-8321.

Contact Information

Primary practice address
259 1St St Mineola NY 11501-3957
Phone: (516) 663-8321
Fax: (516) 663-2184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 33105-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F3344307-1 New York

Profile Details

NPI number 1811054836
LBN Legal business name Wysocki, Elizabeth A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Mar 21st, 2008 - about 16 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 1811054836 NPPES
New York MEDICAID 01521466

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