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Nick Desposito
Student in an Organized Health Care Education/Training Program in Ronkonkoma, New York
NPI 1821663568

Nick Desposito is a Student in an Organized Health Care Education/Training Program based in Ronkonkoma, NY. Nick Desposito practices in Ronkonkoma, NY. The NPI Number for Nick Desposito is 1821663568 and holds a License No. (New York).

The current practice location address for Nick Desposito is 121 Calvert Ave, Ronkonkoma, NY and can be reached out via phone at 631-338-4769.

Location: 121 Calvert Ave, Ronkonkoma, NY, 11779-5970
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821663568
Provider Name
Nick Desposito
Credential
Provider Entity Type
Individual
Gender
Male
Address
121 Calvert Ave, Ronkonkoma, NY, 11779-5970
Phone Number
631-338-4769
Fax Number
Provider Enumeration Date
05/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
121 Calvert Ave
City
Ronkonkoma
State
New York
Zip
11779-5970
Phone Number
631-338-4769
Fax Number
person
Provider Business Mailing Address Details
Address
121 Calvert Ave
City
Ronkonkoma
State
New York
Zip
11779-5970
Phone Number
631-338-4769
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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