Formisano, Jean M

Formisano, Jean M is an individual health care provider with primary practice located at 1196 Old Country Rd , Riverhead NY 11901-2066. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Formisano, Jean M can be contacted via phone (631) 208-0239.

Contact Information

Primary practice address
1196 Old Country Rd Riverhead NY 11901-2066
Fax: (631) 208-0262
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 048664 New York

Profile Details

NPI number 1811219629
LBN Legal business name Formisano, Jean M
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2010
Last updated Feb 20th, 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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