Desimone, Eileen Marie

Desimone, Eileen Marie is an sole proprietor health care provider with primary practice located at 403 Long Island Ave , Medford NY 11763-2625. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Desimone, Eileen Marie can be contacted via phone (631) 775-6555.

Contact Information

Primary practice address
403 Long Island Ave Medford NY 11763-2625
Phone: (631) 775-6555
Fax: (631) 775-6555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 628658051 New York

Profile Details

NPI number 1861814352
LBN Legal business name Desimone, Eileen Marie
Credentials MS, BS IN EDUCATION
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2014
Last updated Jan 17th, 2014 - about 12 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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