Nass, Jack

Nass, Jack is an sole proprietor health care provider with primary practice located at 580 Sunrise Hwy , West Babylon NY 11704-6003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Nass, Jack can be contacted via phone (631) 321-7697.

Contact Information

Primary practice address
580 Sunrise Hwy West Babylon NY 11704-6003
Fax: (631) 321-6140
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 128697 New York

Profile Details

NPI number 1467464255
LBN Legal business name Nass, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2006
Last updated Sep 22nd, 2008 - about 18 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 1467464255 NPPES
New York MEDICAID 00381388

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