Dematteo Kopf, Joanna Rose
Dematteo Kopf, Joanna Rose is an sole proprietor health care provider with primary practice located at 12 Cannon Dr , Holbrook NY 11741-5202. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Dematteo Kopf, Joanna Rose can be contacted via phone (631) 256-6493.Contact Information
Primary practice address
12 Cannon Dr
Holbrook NY 11741-5202
Phone: (631) 256-6493
Fax: (631) 256-6493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | 429547-1 | New York |
Profile Details
| NPI number | 1265699839 |
|---|---|
| LBN Legal business name | Dematteo Kopf, Joanna Rose |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2008 |
| Last updated | May 20th, 2008 - about 16 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 | 1265699839 | NPPES |
| New York | MEDICAID | 01261816 |
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