Jacob, Raymond Patrick

Jacob, Raymond Patrick is an individual health care provider with primary practice located at 24 Ferguson Ave , Port Jervis NY 12771-1605. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Technologists, Technicians & Other Technical Service Providers / Art, Medical. Other Service Providers / Contractor is his primary health care specialty. Jacob, Raymond Patrick can be contacted via phone (914) 443-7973.

Contact Information

Primary practice address
24 Ferguson Ave Port Jervis NY 12771-1605
Phone: (914) 443-7973
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 002794 New York
Technologists, Technicians & Other Technical Service Providers / Art, Medical 246ZA2600X 002794 New York

Profile Details

NPI number 1255515409
LBN Legal business name Jacob, Raymond Patrick
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 24th, 2007
Last updated Dec 24th, 2007 - about 19 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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