Moises, Marie Jacqueline

Moises, Marie Jacqueline is an individual health care provider with primary practice located at 21517 Jamaica Ave , Queens Village NY 11428-1715. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Moises, Marie Jacqueline can be contacted via phone (718) 740-3106.

Contact Information

Primary practice address
21517 Jamaica Ave Queens Village NY 11428-1715
Phone: (718) 740-3106
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 151357 New York

Profile Details

NPI number 1023070513
LBN Legal business name Moises, Marie Jacqueline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Apr 25th, 2018 - about 8 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 1023070513 NPPES
New York MEDICAID 01163859

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