Fuertes, Jairo
Fuertes, Jairo is an sole proprietor health care provider with primary practice located at 158 Cambridge Ave Rm 319, Garden City NY 11530-4235. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fuertes, Jairo can be contacted via phone (917) 821-4623.Contact Information
Primary practice address
158 Cambridge Ave Rm 319
Garden City NY 11530-4235
Phone: (917) 821-4623
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 013736 | New York |
Profile Details
| NPI number | 1306268602 |
|---|---|
| LBN Legal business name | Fuertes, Jairo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2014 |
| Last updated | Jan 6th, 2014 - about 12 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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