Kirk, Jacqueline Marie

Kirk, Jacqueline Marie is an individual health care provider with primary practice located at 7901 Broadway Anex O 3Rd Floor , Elmhurst NY 11373. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Kirk, Jacqueline Marie can be contacted via phone (718) 334-3148.

Contact Information

Primary practice address
7901 Broadway Anex O 3Rd Floor Elmhurst NY 11373
Phone: (718) 334-3148
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X F306406-1 New York

Profile Details

NPI number 1720413743
LBN Legal business name Kirk, Jacqueline Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2013
Last updated Sep 10th, 2013 - about 13 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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