Desivo, Michael John
Desivo, Michael John is an individual health care provider with primary practice located at 228 East Main St , East Islip NY 11730. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Desivo, Michael John can be contacted via phone (631) 983-6281.Contact Information
Primary practice address
228 East Main St
East Islip NY 11730
Phone: (631) 983-6281
Fax: (631) 581-8603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 057983-1 | New York |
Profile Details
| NPI number | 1225448855 |
|---|---|
| LBN Legal business name | Desivo, Michael John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2014 |
| Last updated | Apr 11th, 2017 - about 9 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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