Cardillo, Michael J
Cardillo, Michael J is an sole proprietor health care provider with primary practice located at 41 N Country Rd Office #1, Port Jefferson NY 11777-2160. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cardillo, Michael J can be contacted via phone (631) 473-0020.Contact Information
Primary practice address
41 N Country Rd Office #1
Port Jefferson NY 11777-2160
Phone: (631) 473-0020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6906 | New York |
Profile Details
| NPI number | 1184788077 |
|---|---|
| LBN Legal business name | Cardillo, Michael J |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184788077 | NPPES |
| New York | Other | 0010451 | GHI ID |
| New York | Other | 147518 | GHI ID |
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