Canal, George Jake

Canal, George Jake is an sole proprietor health care provider with primary practice located at 1401 Christine Rd , Mohegan Lake NY 10547-1774. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Canal, George Jake can be contacted via phone (646) 339-4439.

Contact Information

Primary practice address
1401 Christine Rd Mohegan Lake NY 10547-1774
Phone: (646) 339-4439
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 006932 New York

Profile Details

NPI number 1598073892
LBN Legal business name Canal, George Jake
Credentials OCCUP. THERAPIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2010
Last updated Sep 20th, 2010 - about 16 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 1598073892 NPPES
New York Other 931767939 UNITED FEDERATION OF TEACHERS

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