Dermody, Kim Su Ann

Dermody, Kim Su Ann is an sole proprietor health care provider with primary practice located at 2 Sound Rd D, Wading River NY 11792-1033. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Dermody, Kim Su Ann can be contacted via phone (631) 886-1999.

Contact Information

Primary practice address
2 Sound Rd D Wading River NY 11792-1033
Phone: (631) 886-1999
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 011574 New York

Profile Details

NPI number 1154572352
LBN Legal business name Dermody, Kim Su Ann
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2008
Last updated Oct 7th, 2008 - about 18 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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