Derrenbacher, Toni M
Derrenbacher, Toni M is an sole proprietor health care provider with primary practice located at 4331 Nesconset Hwy , Port Jefferson Station NY 11776-2250. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Derrenbacher, Toni M can be contacted via phone (631) 642-3019.Contact Information
Primary practice address
4331 Nesconset Hwy
Port Jefferson Station NY 11776-2250
Phone: (631) 642-3019
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 049227-1 | New York |
Profile Details
| NPI number | 1376865238 |
|---|---|
| LBN Legal business name | Derrenbacher, Toni M |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2010 |
| Last updated | Feb 19th, 2010 - about 14 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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