Defalco, Mary Ann

Defalco, Mary Ann is an individual health care provider with primary practice located at 540 Union Blvd , West Islip NY 11795. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Defalco, Mary Ann can be contacted via phone (631) 669-2555.

Contact Information

Primary practice address
540 Union Blvd West Islip NY 11795
Phone: (631) 669-2555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F3042641 New York

Profile Details

NPI number 1144208570
LBN Legal business name Defalco, Mary Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Jul 8th, 2007 - about 18 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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