Dethomasis, Daniela

Dethomasis, Daniela is an individual health care provider with primary practice located at 2161 Fairport Nine Mile Pt Rd , Fairport NY 14450-8509. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Dethomasis, Daniela can be contacted via phone (585) 377-1196.

Contact Information

Primary practice address
2161 Fairport Nine Mile Pt Rd Fairport NY 14450-8509
Phone: (585) 377-1196
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 047543 New York

Profile Details

NPI number 1932377116
LBN Legal business name Dethomasis, Daniela
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2008
Last updated Apr 23rd, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932377116 NPPES
New York MEDICAID 02799026

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