Destefano, Dominick A
Destefano, Dominick A is an individual health care provider with primary practice located at 1370A Majors Path , Southampton NY 11968-2416. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Destefano, Dominick A can be contacted via phone (631) 259-0400.Contact Information
Primary practice address
1370A Majors Path
Southampton NY 11968-2416
Phone: (631) 259-0400
Fax: (631) 259-0404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 000572-1 | New York |
Profile Details
| NPI number | 1053378067 |
|---|---|
| LBN Legal business name | Destefano, Dominick A |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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