D'Avanzo, Deron Glenn

D'Avanzo, Deron Glenn is an sole proprietor health care provider with primary practice located at 2778 Bruckner Blvd , Bronx NY 10465-1934. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. D'Avanzo, Deron Glenn can be contacted via phone (718) 863-4925.

Contact Information

Primary practice address
2778 Bruckner Blvd Bronx NY 10465-1934
Phone: (718) 863-4925
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1528314374
LBN Legal business name D'Avanzo, Deron Glenn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2012
Last updated Jul 31st, 2012 - about 12 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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