Dizdarvic, Dzeneta

Dizdarvic, Dzeneta is an sole proprietor health care provider with primary practice located at 400 Lake Ave , Staten Island NY 10303-2629. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Dizdarvic, Dzeneta can be contacted via phone (718) 816-3420.

Contact Information

Primary practice address
400 Lake Ave Staten Island NY 10303-2629
Fax: (718) 816-3488
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1154767390
LBN Legal business name Dizdarvic, Dzeneta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2013
Last updated May 15th, 2013 - about 12 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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