Desiderio, Jillian
Desiderio, Jillian is an individual health care provider with primary practice located at 2000 Maple Hill St Suite 105, Yorktown Heights NY 10598-4176. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Desiderio, Jillian can be contacted via phone (914) 962-5593.Contact Information
Primary practice address
2000 Maple Hill St Suite 105
Yorktown Heights NY 10598-4176
Phone: (914) 962-5593
Fax: (914) 962-5599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 069449-1 | New York |
Profile Details
| NPI number | 1154471233 |
|---|---|
| LBN Legal business name | Desiderio, Jillian |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| 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 | 1154471233 | NPPES |
| New York | Other | 250248 | HEALTHNET |
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