Birnbaum, Jaclyn

Birnbaum, Jaclyn is an sole proprietor health care provider with primary practice located at 3 Graystone Dr , East Northport NY 11731-4404. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Birnbaum, Jaclyn can be contacted via phone (631) 368-1002.

Contact Information

Primary practice address
3 Graystone Dr East Northport NY 11731-4404
Phone: (631) 368-1002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1558625368
LBN Legal business name Birnbaum, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2012
Last updated Mar 31st, 2016 - about 10 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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