Desyr, Marie
Desyr, Marie is an sole proprietor health care provider with primary practice located at 164-01B 89Th Ave , Jamaica NY 11432. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Desyr, Marie can be contacted via phone (845) 564-9853.Contact Information
Primary practice address
164-01B 89Th Ave
Jamaica NY 11432
Phone: (845) 564-9853
Fax: (845) 564-6974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 003120-1 | New York |
Profile Details
| NPI number | 1487875506 |
|---|---|
| LBN Legal business name | Desyr, Marie |
| Credentials | Certified Occupational Therapy Assistant (COTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487875506 | NPPES |
| New York | Other | 003120-1 | COTA LICENSE |
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