Zacoum, Julie Dawn

Zacoum, Julie Dawn is an sole proprietor health care provider with primary practice located at 37 Woodbine St , Coram NY 11727-1140. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Zacoum, Julie Dawn can be contacted via phone (631) 252-8657.

Contact Information

Primary practice address
37 Woodbine St Coram NY 11727-1140
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 282712 New York

Profile Details

NPI number 1750589784
LBN Legal business name Zacoum, Julie Dawn
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2007
Last updated Dec 29th, 2011 - about 13 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 1750589784 NPPES
New York MEDICAID 02865745

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