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Contact Information

PATRICIA M CONNELLY, HHA, PCA
27 GOOSEBERRY RD
MASTIC BEACH, NY11951-6335
 Phone: 631-316-9760
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
 

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for PATRICIA M CONNELLY · (Female)

NPI Number 1568722478
Status Active
Credentials HHA, PCA
Entity Individual
Enumeration date 05/24/2012
Last updated 05/24/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 00310022
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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