Derovira, Nadine L

Derovira, Nadine L is an individual health care provider with primary practice located at 1351 Merrick Ave , Merrick NY 11566-1634. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Derovira, Nadine L can be contacted via phone (516) 322-1743.

Contact Information

Primary practice address
1351 Merrick Ave Merrick NY 11566-1634
Phone: (516) 322-1743
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 01235-1 New York
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 01235-1 New York

Profile Details

NPI number 1932353117
LBN Legal business name Derovira, Nadine L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2008
Last updated Nov 13th, 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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