Jackson, Desiree

Jackson, Desiree is an sole proprietor health care provider with primary practice located at 2127 Marion Pl , North Baldwin NY 11510-2921. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Jackson, Desiree can be contacted via phone (646) 739-0985.

Contact Information

Primary practice address
2127 Marion Pl North Baldwin NY 11510-2921
Phone: (646) 739-0985
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 1773076 New York

Profile Details

NPI number 1699150268
LBN Legal business name Jackson, Desiree
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2015
Last updated Jul 24th, 2015 - about 11 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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