Desivo, Michael John

Desivo, Michael John is an individual health care provider with primary practice located at 228 East Main St , East Islip NY 11730. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Desivo, Michael John can be contacted via phone (631) 983-6281.

Contact Information

Primary practice address
228 East Main St East Islip NY 11730
Phone: (631) 983-6281
Fax: (631) 581-8603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 057983-1 New York

Profile Details

NPI number 1225448855
LBN Legal business name Desivo, Michael John
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2014
Last updated Apr 11th, 2017 - about 7 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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