Monaco-Bavaro, Jacqueline

Monaco-Bavaro, Jacqueline is an individual health care provider with primary practice located at 15 N Broadway , White Plains NY 10601-2214. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Monaco-Bavaro, Jacqueline can be contacted via phone (914) 328-8444.

Contact Information

Primary practice address
15 N Broadway White Plains NY 10601-2214
Phone: (914) 328-8444
Fax: (914) 428-7696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 201602 New York

Profile Details

NPI number 1538150230
LBN Legal business name Monaco-Bavaro, Jacqueline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Aug 19th, 2010 - about 16 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 1538150230 NPPES
New York MEDICAID 016868821

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