Martinez-Dicarlo, Daisy

Martinez-Dicarlo, Daisy is an sole proprietor health care provider with primary practice located at 226 Dixwell Ave , New Haven CT 06511-3456. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Martinez-Dicarlo, Daisy can be contacted via phone (203) 503-3470.

Contact Information

Primary practice address
226 Dixwell Ave New Haven CT 06511-3456
Phone: (203) 503-3470
Fax: (203) 503-3478
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 001439 Connecticut

Profile Details

NPI number 1962602532
LBN Legal business name Martinez-Dicarlo, Daisy
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2007
Last updated Nov 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962602532 NPPES
Connecticut MEDICAID 004235918

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