Ceravolo, Kristina Mackenzie
Ceravolo, Kristina Mackenzie is an individual health care provider with primary practice located at 2 Washington Ave , Irvington NJ 07111-3550. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Ceravolo, Kristina Mackenzie can be contacted via phone (973) 926-5306.Contact Information
Primary practice address
2 Washington Ave
Irvington NJ 07111-3550
Phone: (973) 926-5306
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 22DI02954300 | New Jersey |
Profile Details
| NPI number | 1154062883 |
|---|---|
| LBN Legal business name | Ceravolo, Kristina Mackenzie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2022 |
| Last updated | Aug 14th, 2023 - about 2 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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