Destefano, Jody Leigh

Destefano, Jody Leigh is an individual health care provider with primary practice located at 9 Lindell Ave , Lake Grove NY 11755-3121. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Destefano, Jody Leigh can be contacted via phone (631) 285-1086.

Contact Information

Primary practice address
9 Lindell Ave Lake Grove NY 11755-3121
Phone: (631) 285-1086
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1912261488
LBN Legal business name Destefano, Jody Leigh
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2012
Last updated Jun 29th, 2012 - about 12 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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