Di Blasi, Jason Robert

Di Blasi, Jason Robert is an individual health care provider with primary practice located at 690 Broadway Suite 1, Massapequa NY 11758. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Di Blasi, Jason Robert can be contacted via phone (516) 795-5769.

Contact Information

Primary practice address
690 Broadway Suite 1 Massapequa NY 11758
Phone: (516) 795-5769
Fax: (516) 795-8872
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 053299 New York

Profile Details

NPI number 1265507305
LBN Legal business name Di Blasi, Jason Robert
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 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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