National Provider Identifier Database

REBECCA L EVERETT, BSRN – NPI #1427328616
School


Contact Information

REBECCA L EVERETT, BSRN
146 GETTLE ROAD, ST. 1
AVERILL PARK, NY12018
Phone: 518-674-7020
Fax: 518-674-7052
Website:
Specialty Taxonomy Code
* School 163WS0200X

* Indicates primary specialty

NPI Profile & details for REBECCA L EVERETT

NPI Number 1427328616
Credentials BSRN
Entity Individual
Enumeration date 01/05/2012
Last updated 01/05/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 411152-1
  • NY Medicaid: 1379024
Hospital affiliation n/a

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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