Fajardo, Jeremae Gonzales

Fajardo, Jeremae Gonzales is an sole proprietor health care provider with primary practice located at 480 Forest Ave , Locust Valley NY 11560-2151. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Fajardo, Jeremae Gonzales can be contacted via phone (915) 593-9081.

Contact Information

Primary practice address
480 Forest Ave Locust Valley NY 11560-2151
Phone: (915) 593-9081
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 432719 New York

Profile Details

NPI number 1841039591
LBN Legal business name Fajardo, Jeremae Gonzales
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2024
Last updated May 22nd, 2024 - about 2 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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