Individual provider · Type 1 NPI
Eileen Marie Desimone, MS, BS IN EDUCATION
Specialist · Medford, NY
NPI number
1861814352
Active
Practice location
403 Long Island Ave
Medford, NY 11763-2625
Fax (631) 775-6555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 628658051 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1861814352
Eileen Marie Desimone, MS, BS IN EDUCATION's National Provider Identifier is 1861814352, issued on Jan 17, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Medford, NY. The record was last updated on Jan 17, 2014.