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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306813415 NPPES
New York MEDICAID 01140734

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