NPI 1215567482

Jason Debenedictis

Practitioner Adult Companion Holbrook, NY

Practice location

Address: 23 Singingwood Dr, Holbrook, NY 11741-2818
Phone: (631) 707-0952

Registered specialties (2)

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X

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Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1215567482
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jan 2020
Record last updated: 16 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.