Jacob, Reena J
Jacob, Reena J is an individual health care provider with primary practice located at 20 Squadron Blvd Suite 350, New City NY 10956-5200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jacob, Reena J can be contacted via phone (845) 634-4567.Contact Information
Primary practice address
20 Squadron Blvd Suite 350
New City NY 10956-5200
Phone: (845) 634-4567
Fax: (845) 634-4564
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 218545 | New York |
Profile Details
| NPI number | 1720015746 |
|---|---|
| LBN Legal business name | Jacob, Reena J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720015746 | NPPES |
| New York | MEDICAID | 02148603 |
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