Dedomenico, Noreen
Dedomenico, Noreen is an sole proprietor health care provider with primary practice located at 904 Whalley Ave , New Haven CT 06515-1700. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Dedomenico, Noreen can be contacted via phone (203) 397-1928.Contact Information
Primary practice address
904 Whalley Ave
New Haven CT 06515-1700
Phone: (203) 397-1928
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | LO702 | Connecticut |
Profile Details
| NPI number | 1891919585 |
|---|---|
| LBN Legal business name | Dedomenico, Noreen |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Dec 18th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891919585 | NPPES |
| Connecticut | Other | 0521380001 | MEDICARE |
| Connecticut | Other | 100000702CT01 | MEDICARE |
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