Goncalves, Jacklyn M

Goncalves, Jacklyn M is an individual health care provider with primary practice located at 70 Grand Ave , Massapequa NY 11758-4906. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Goncalves, Jacklyn M can be contacted via phone (516) 799-3203.

Contact Information

Primary practice address
70 Grand Ave Massapequa NY 11758-4906
Phone: (516) 799-3203
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New York

Profile Details

NPI number 1396490538
LBN Legal business name Goncalves, Jacklyn M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2022
Last updated Feb 16th, 2022 - about 4 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.

Request for update

Popular Providers