Bedoya, Jessica

Bedoya, Jessica is an sole proprietor health care provider with primary practice located at 395 Sunken Meadow Rd , Kings Park NY 11754-1000. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bedoya, Jessica can be contacted via phone (631) 269-5800.

Contact Information

Primary practice address
395 Sunken Meadow Rd Kings Park NY 11754-1000
Phone: (631) 269-5800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 024704 New York

Profile Details

NPI number 1801416128
LBN Legal business name Bedoya, Jessica
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2020
Last updated Apr 17th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801416128 NPPES
New York Other 437046 NBCOT
New York Other 024704 NBCOT

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