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:
Health care specialties
| Specialty | Code | License # | 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 3 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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