Desruisseaux, Johane N/A
Desruisseaux, Johane N/A is an sole proprietor health care provider with primary practice located at 19304 Horace Harding Expy Apt 1A , Fresh Meadows NY 11365-2820. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Desruisseaux, Johane N/A can be contacted via phone (917) 528-3783.Contact Information
Primary practice address
19304 Horace Harding Expy Apt 1A
Fresh Meadows NY 11365-2820
Phone: (917) 528-3783
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | F405123-01 | New York |
Profile Details
| NPI number | 1962265132 |
|---|---|
| LBN Legal business name | Desruisseaux, Johane N/A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2024 |
| Last updated | Jan 31st, 2024 - about 11 months 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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