Defazio, Jennifer L

Defazio, Jennifer L is an individual health care provider with primary practice located at 800 Veterans Hwy , Hauppauge NY 11788-2948. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Defazio, Jennifer L can be contacted via phone (646) 227-3275.

Contact Information

Primary practice address
800 Veterans Hwy Hauppauge NY 11788-2948
Phone: (646) 227-3275
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 240844 New York

Profile Details

NPI number 1255443925
LBN Legal business name Defazio, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 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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