Tiseo, Jennifer Anne

Tiseo, Jennifer Anne is an individual health care provider with primary practice located at 1 Brandywine Dr , Deer Park NY 11729-5721. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Tiseo, Jennifer Anne can be contacted via phone (631) 392-0081.

Contact Information

Primary practice address
1 Brandywine Dr Deer Park NY 11729-5721
Phone: (631) 392-0081
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0155221 New York

Profile Details

NPI number 1013058965
LBN Legal business name Tiseo, Jennifer Anne
Credentials MA, PT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 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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