Distefano, Cathy
Distefano, Cathy is an sole proprietor health care provider with primary practice located at 5 Wimbledon Ct , Woodbury NY 11797-2411. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Distefano, Cathy can be contacted via phone (516) 510-1157.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 018374-1 | New York |
| Dental Providers / Dental Hygienist | 124Q00000X | 018374 | New York |
Profile Details
| NPI number | 1881193407 |
|---|---|
| LBN Legal business name | Distefano, Cathy |
| Credentials | OMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2018 |
| Last updated | Jun 16th, 2018 - about 7 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 | 1881193407 | NPPES |
| New York | MEDICAID | 9478748 | |
| New York | MEDICAID | 018374 | |
| New York | MEDICAID | 018374-1 | |
| New York | Other | 018374 |
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