Civitano, Debra
Civitano, Debra is an sole proprietor health care provider with primary practice located at 500 Montauk Hwy , West Islip NY 11795-4418. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Civitano, Debra can be contacted via phone (631) 314-4456.Contact Information
Primary practice address
500 Montauk Hwy
West Islip NY 11795-4418
Phone: (631) 314-4456
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F351904-01 | New York |
Profile Details
| NPI number | 1295419240 |
|---|---|
| LBN Legal business name | Civitano, Debra |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2023 |
| Last updated | Jun 12th, 2023 - about 3 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.
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