Sevilla, Myrtz Melody Revesencio

Sevilla, Myrtz Melody Revesencio is an sole proprietor health care provider with primary practice located at 160 Beach 99Th St , Rockaway Park NY 11694-2807. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Sevilla, Myrtz Melody Revesencio can be contacted via phone (916) 513-3907.

Contact Information

Primary practice address
160 Beach 99Th St Rockaway Park NY 11694-2807
Phone: (916) 513-3907
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X 24692 Massachusetts

Profile Details

NPI number 1386264224
LBN Legal business name Sevilla, Myrtz Melody Revesencio
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2020
Last updated Apr 22nd, 2020 - about 5 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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