Derisse, Jailene
Derisse, Jailene is an individual health care provider with primary practice located at 116 Hardenburgh Rd , Ulster Park NY 12487-5345. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Derisse, Jailene can be contacted via phone (561) 568-1493.Contact Information
Primary practice address
116 Hardenburgh Rd
Ulster Park NY 12487-5345
Phone: (561) 568-1493
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1366064982 |
|---|---|
| LBN Legal business name | Derisse, Jailene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2020 |
| Last updated | May 18th, 2020 - about 4 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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