Jackness, Emily
Jackness, Emily is an individual health care provider with primary practice located at 3415 Bainbridge Ave Children'S Hospital At Montefiore - Pediatric Cardiolog, Bronx NY 10467. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Jackness, Emily can be contacted via phone (718) 741-2343.Contact Information
Primary practice address
3415 Bainbridge Ave Children'S Hospital At Montefiore - Pediatric Cardiolog
Bronx NY 10467
Phone: (718) 741-2343
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 162865 | New York |
Profile Details
| NPI number | 1306813415 |
|---|---|
| LBN Legal business name | Jackness, Emily |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Jan 13th, 2012 - about 14 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 | 1306813415 | NPPES |
| New York | MEDICAID | 01140734 |
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