Roman, Jacqueline

Roman, Jacqueline is an individual health care provider with primary practice located at 136 Cranberry Ct , Melville NY 11747-8722. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Roman, Jacqueline can be contacted via phone (631) 470-2531.

Contact Information

Primary practice address
136 Cranberry Ct Melville NY 11747-8722
Phone: (631) 470-2531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F310462-01 New York

Profile Details

NPI number 1326700972
LBN Legal business name Roman, Jacqueline
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2021
Last updated Jan 16th, 2022 - about 4 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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