Desiderio, Jillian

Desiderio, Jillian is an individual health care provider with primary practice located at 2000 Maple Hill St Suite 105, Yorktown Heights NY 10598-4176. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Desiderio, Jillian can be contacted via phone (914) 962-5593.

Contact Information

Primary practice address
2000 Maple Hill St Suite 105 Yorktown Heights NY 10598-4176
Fax: (914) 962-5599
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 069449-1 New York

Profile Details

NPI number 1154471233
LBN Legal business name Desiderio, Jillian
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1154471233 NPPES
New York Other 250248 HEALTHNET

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