Mistretta, Jessica

Mistretta, Jessica is an sole proprietor health care provider with primary practice located at 179 Middle Island Rd , Medford NY 11763-1517. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Mistretta, Jessica can be contacted via phone (631) 880-3081.

Contact Information

Primary practice address
179 Middle Island Rd Medford NY 11763-1517
Phone: (631) 880-3081
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1568106979
LBN Legal business name Mistretta, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2022
Last updated Apr 21st, 2022 - about 2 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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