Iadevaio, Annmarie

Iadevaio, Annmarie is an individual health care provider with primary practice located at 961-3 Pt. Washington Blvd , Port Washington NY 11050. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Iadevaio, Annmarie can be contacted via phone (516) 944-6148.

Contact Information

Primary practice address
961-3 Pt. Washington Blvd Port Washington NY 11050
Fax: (516) 767-7961
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 037767 New York

Profile Details

NPI number 1023291416
LBN Legal business name Iadevaio, Annmarie
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2007
Last updated Dec 10th, 2007 - about 17 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 1023291416 NPPES
New York MEDICAID 00721875

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