Hermalyn, Beverly Blossom
Hermalyn, Beverly Blossom is an sole proprietor health care provider with primary practice located at 79 Middlevile Road , Northport NY 11768. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Hermalyn, Beverly Blossom can be contacted via phone (631) 261-4400.Contact Information
Primary practice address
79 Middlevile Road
Northport NY 11768
Phone: (631) 261-4400
Fax: (631) 266-6018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X |
Profile Details
| NPI number | 1437243458 |
|---|---|
| LBN Legal business name | Hermalyn, Beverly Blossom |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Nov 12th, 2009 - 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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