CCS MEDICAL PRACTICE PLLC
Nurse Practitioner

NPI Profile for CCS MEDICAL PRACTICE PLLC in HUNTINGTON, NY.

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

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Contact Information

CCS MEDICAL PRACTICE, PLLC

17 SOUTHDOWN ROAD
HUNTINGTON, NY 11743

Phone: 631-923-2139
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Nurse Practitioner	363L00000X	50	Nurse Practitioner
Public Health or Welfare	251K00000X	60	Public Health or Welfare Agency

Indicates primary specialty

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NPI Profile & details for CCS MEDICAL PRACTICE PLLC · (Female)

NPI #	`1265857643`
Status	Active
Credentials
Entity	Individual
Enumeration date	02/21/2014
Last updated	12/16/2019 - About 6 years ago
Sole proprietor ¹	Not specified
Identifiers	NY License # 7175553
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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