Pichardo, Jesus Manuel
Pichardo, Jesus Manuel is an sole proprietor health care provider with primary practice located at 1623 Weirfield St , Ridgewood NY 11385-5349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pichardo, Jesus Manuel can be contacted via phone (718) 456-4600.Contact Information
Primary practice address
1623 Weirfield St
Ridgewood NY 11385-5349
Phone: (718) 456-4600
Fax: (718) 418-3549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 188066 | New York |
Profile Details
| NPI number | 1851468433 |
|---|---|
| LBN Legal business name | Pichardo, Jesus Manuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Oct 28th, 2025 - about last year |
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 | 1851468433 | NPPES |
| New York | MEDICAID | 01463212 |
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