Di Vico, Kristin Ann
Di Vico, Kristin Ann is an sole proprietor health care provider with primary practice located at 3400 N Shelley St , Mohegan Lake NY 10547-1441. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Di Vico, Kristin Ann can be contacted via phone (914) 962-3458.Contact Information
Primary practice address
3400 N Shelley St
Mohegan Lake NY 10547-1441
Phone: (914) 962-3458
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT 014 318-1 | New York |
Profile Details
| NPI number | 1700076866 |
|---|---|
| LBN Legal business name | Di Vico, Kristin Ann |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2007 |
| Last updated | Jul 25th, 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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