Cardillo, Michael J

Cardillo, Michael J is an sole proprietor health care provider with primary practice located at 41 N Country Rd Office #1, Port Jefferson NY 11777-2160. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cardillo, Michael J can be contacted via phone (631) 473-0020.

Contact Information

Primary practice address
41 N Country Rd Office #1 Port Jefferson NY 11777-2160
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6906 New York

Profile Details

NPI number 1184788077
LBN Legal business name Cardillo, Michael J
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1184788077 NPPES
New York Other 0010451 GHI ID
New York Other 147518 GHI ID

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