Civitillo, William N

Civitillo, William N is an sole proprietor health care provider with primary practice located at 1502 146Th St , Whitestone NY 11357-3019. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Civitillo, William N can be contacted via phone (718) 309-8718.

Contact Information

Primary practice address
1502 146Th St Whitestone NY 11357-3019
Phone: (718) 309-8718
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86109420 New York

Profile Details

NPI number 1114670338
LBN Legal business name Civitillo, William N
Credentials MS RD RDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2022
Last updated Jan 28th, 2022 - about 3 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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