Pentrelli Deraco, Nicolina

Pentrelli Deraco, Nicolina is an sole proprietor health care provider with primary practice located at 11 Eagle Rock Ave , East Hanover NJ 07936-3167. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Pentrelli Deraco, Nicolina can be contacted via phone (197) 388-7900.

Contact Information

Primary practice address
11 Eagle Rock Ave East Hanover NJ 07936-3167
Phone: (197) 388-7900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 022136-1 New York

Profile Details

NPI number 1487691523
LBN Legal business name Pentrelli Deraco, Nicolina
Credentials LPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2006
Last updated Aug 13th, 2013 - about 11 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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