Decrosta, Don

Decrosta, Don is an individual health care provider with primary practice located at 259 1St St , Mineola NY 11501-3957. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Decrosta, Don can be contacted via phone (516) 741-0570.

Contact Information

Primary practice address
259 1St St Mineola NY 11501-3957
Phone: (516) 741-0570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 180054-1 New York

Profile Details

NPI number 1255303012
LBN Legal business name Decrosta, Don
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 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 1255303012 NPPES
New York MEDICAID 01613107

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