Distasi, Joann B

Distasi, Joann B is an individual health care provider with primary practice located at 346 Westbury Ave , Carle Place NY 11514-1654. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Distasi, Joann B can be contacted via phone (516) 333-1481.

Contact Information

Primary practice address
346 Westbury Ave Carle Place NY 11514-1654
Phone: (516) 333-1481
Fax: (516) 333-0549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 004332-1 New York

Profile Details

NPI number 1831201300
LBN Legal business name Distasi, Joann B
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 15th, 2010 - about 15 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 1831201300 NPPES
New York Other 0453920001 NHIC GROUP #

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