Videtto, Jacqueline
Videtto, Jacqueline is an individual health care provider with primary practice located at 100 Veterans Blvd Ste 1 , Massapequa NY 11758-4945. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Videtto, Jacqueline can be contacted via phone (516) 882-9600.Contact Information
Primary practice address
100 Veterans Blvd Ste 1
Massapequa NY 11758-4945
Phone: (516) 882-9600
Fax: (516) 882-9605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 016854 | New York |
Profile Details
| NPI number | 1083049480 |
|---|---|
| LBN Legal business name | Videtto, Jacqueline |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2013 |
| Last updated | Sep 30th, 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.
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