FAIRY LICEMOTHERS LLC NPI 1235653437

NPI Information

NPI: 1235653437
Provider Name: FAIRY LICEMOTHERS, LLC
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
2463 LONG BEACH RD
OCEANSIDE, NY
ZIP 11572
Phone: (866) 561-0492
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FAIRY LICEMOTHERS, LLC is a public health or welfare in Oceanside, NY. FAIRY LICEMOTHERS, LLC NPI is 1235653437. The provider is registered as an organization entity type.

The provider's business location address is:

2463 LONG BEACH RD
OCEANSIDE, NY
ZIP 11572-362
Phone: (866) 561-0492

The provider's authorized official is Carol Michelle Gilbert .
The authorized official title is President and has the following contact phone number (516) 313-8095.

The enumeration date for this NPI number is 7/29/2017 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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