Mollo, Candace Ann
Mollo, Candace Ann is an individual health care provider with primary practice located at 2201 Hempstead Tpke , East Meadow NY 11554-1859. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Mollo, Candace Ann can be contacted via phone (516) 572-6131.Contact Information
Primary practice address
2201 Hempstead Tpke
East Meadow NY 11554-1859
Phone: (516) 572-6131
Fax: (516) 572-5793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 004144-1 | New York |
Profile Details
| NPI number | 1245445493 |
|---|---|
| LBN Legal business name | Mollo, Candace Ann |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 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 | 1245445493 | NPPES |
| New York | Other | 004144-1 | NY STATE LICENSE |
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