Espaillat, Jacqueidy Antonia
Espaillat, Jacqueidy Antonia is an sole proprietor health care provider with primary practice located at 2465 Bathgate Ave , Bronx NY 10458-5928. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Espaillat, Jacqueidy Antonia can be contacted via phone (718) 367-5917.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 011491 | New York |
Profile Details
| NPI number | 1528526563 |
|---|---|
| LBN Legal business name | Espaillat, Jacqueidy Antonia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2019 |
| Last updated | Mar 8th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528526563 | NPPES |
| New York | MEDICAID | KY43228T |
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